Provider Demographics
NPI:1891939591
Name:GUERINI CANDELA, CARYN L (APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:CARYN
Middle Name:L
Last Name:GUERINI CANDELA
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531N FIFTH AVE
Mailing Address - Street 2:
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024-1088
Mailing Address - Country:US
Mailing Address - Phone:440-285-2300
Mailing Address - Fax:440-285-2320
Practice Address - Street 1:531 FIFTH AVE
Practice Address - Street 2:
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-1088
Practice Address - Country:US
Practice Address - Phone:440-285-2300
Practice Address - Fax:440-285-2320
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA06902-NS364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GUNSO2901Medicare PIN