Provider Demographics
NPI:1689648032
Name:BURGER, CANDACE KAY (RN, MSN, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:KAY
Last Name:BURGER
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Gender:F
Credentials:RN, MSN, CPNP
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Mailing Address - Street 1:228 SAINT GEORGE ST
Mailing Address - Street 2:PO BOX 1890
Mailing Address - City:GONZALES
Mailing Address - State:TX
Mailing Address - Zip Code:78629-3910
Mailing Address - Country:US
Mailing Address - Phone:830-672-6511
Mailing Address - Fax:830-672-6430
Practice Address - Street 1:3551 ROGER BROOKE DR
Practice Address - Street 2:
Practice Address - City:FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-916-3160
Practice Address - Fax:210-916-3700
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2020-03-13
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Provider Licenses
StateLicense IDTaxonomies
TX661941363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics