Provider Demographics
NPI:1295240174
Name:BRASE, CANDICE GABRIELLE (FNP-C , RN)
Entity type:Individual
Prefix:MRS
First Name:CANDICE
Middle Name:GABRIELLE
Last Name:BRASE
Suffix:
Gender:F
Credentials:FNP-C , RN
Other - Prefix:MISS
Other - First Name:CANDICE
Other - Middle Name:GABRIELLE
Other - Last Name:ENGELMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2615 OAKWOOD GLEN DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-5126
Mailing Address - Country:US
Mailing Address - Phone:512-299-5400
Mailing Address - Fax:
Practice Address - Street 1:2111 KRAMER LN STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-4032
Practice Address - Country:US
Practice Address - Phone:512-508-8320
Practice Address - Fax:512-488-1745
Is Sole Proprietor?:No
Enumeration Date:2017-12-13
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135489363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily