Provider Demographics
NPI:1023327780
Name:VEIT, CANDACE MAE (RN)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:MAE
Last Name:VEIT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CANDACE
Other - Middle Name:MAE
Other - Last Name:DELBRIDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 346
Mailing Address - Street 2:
Mailing Address - City:DUPREE
Mailing Address - State:SD
Mailing Address - Zip Code:57623-0346
Mailing Address - Country:US
Mailing Address - Phone:605-466-2650
Mailing Address - Fax:
Practice Address - Street 1:317 MAIN STREET
Practice Address - Street 2:
Practice Address - City:EAGLE BUTTE
Practice Address - State:SD
Practice Address - Zip Code:57625
Practice Address - Country:US
Practice Address - Phone:605-964-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR038380163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse