Provider Demographics
NPI:1972670479
Name:MCCANDLESS BRUCE, JANICE M (APRN BC)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:M
Last Name:MCCANDLESS BRUCE
Suffix:
Gender:F
Credentials:APRN BC
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Mailing Address - Street 1:11023 JOE WARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:DE
Mailing Address - Zip Code:19956-4576
Mailing Address - Country:US
Mailing Address - Phone:302-280-6256
Mailing Address - Fax:302-280-6272
Practice Address - Street 1:11023 JOE WARRINGTON DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:DE
Practice Address - Zip Code:19956
Practice Address - Country:US
Practice Address - Phone:302-280-6256
Practice Address - Fax:302-280-6272
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2013-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEL10033847163WP0808X
DELE0000163364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health