Provider Demographics
NPI:1609095165
Name:SIMPSON, CANDACE B (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:B
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 N HILL DR STE 202
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2609
Mailing Address - Country:US
Mailing Address - Phone:540-347-0180
Mailing Address - Fax:540-349-3231
Practice Address - Street 1:CHILD HEALTH ASSOCIATES, LTD.
Practice Address - Street 2:45 NORTH HILL DRIVE, SUITE
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186
Practice Address - Country:US
Practice Address - Phone:540-347-0180
Practice Address - Fax:540-349-3231
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0017138686363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0017138686OtherSTATE LICENSE NO.
VA0017138686OtherSTATE LICENSE NO.