Provider Demographics
NPI:1568574531
Name:CHAPIN, CANDACE JOY (FNP)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:JOY
Last Name:CHAPIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4242 MEDICAL DR
Mailing Address - Street 2:SUITE 6250
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-479-3297
Mailing Address - Fax:210-479-3295
Practice Address - Street 1:4242 MEDICAL DR
Practice Address - Street 2:SUITE 6250
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-479-3297
Practice Address - Fax:210-479-3295
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX591028363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX163321601Medicaid
TXE0131003OtherDPS
TX8K3179OtherMEDICARE
TX8Y4036OtherBCBS PVN
TX8A6284Medicare ID - Type Unspecified
TX8Y4036OtherBCBS PVN