Provider Demographics
NPI:1780873240
Name:MCCALL, CANDY HOLDER (FNP)
Entity type:Individual
Prefix:MRS
First Name:CANDY
Middle Name:HOLDER
Last Name:MCCALL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2530
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-2530
Mailing Address - Country:US
Mailing Address - Phone:704-997-5525
Mailing Address - Fax:704-997-5531
Practice Address - Street 1:2603 DAVIE AVE
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28625-8256
Practice Address - Country:US
Practice Address - Phone:704-873-6515
Practice Address - Fax:704-873-6508
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9600617363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily