Provider Demographics
NPI:1023262839
Name:AGUIAR, CANDACE ANNE (CRNA)
Entity type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:ANNE
Last Name:AGUIAR
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 PALMETTO HEALTH PKWY,
Mailing Address - Street 2:PALMETTO HEALTH BAPTIST PARKRIDGE
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 PALMETTO HEALTH PKWY,
Practice Address - Street 2:PALMETTO HEALTH BAPTIST PARKRIDGE
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212
Practice Address - Country:US
Practice Address - Phone:803-296-2548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17459367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered