Provider Demographics
NPI:1649843236
Name:MYERS, CANDICE BELINDA (CNA)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:BELINDA
Last Name:MYERS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 OLD MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-7663
Mailing Address - Country:US
Mailing Address - Phone:828-774-6984
Mailing Address - Fax:
Practice Address - Street 1:10 EAGLES ROOST LN
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-7571
Practice Address - Country:US
Practice Address - Phone:828-516-0735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
S9122Other