Provider Demographics
NPI:1811604515
Name:SCHOTT, CANDICE
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:
Last Name:SCHOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 JORDAN RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-4009
Mailing Address - Country:US
Mailing Address - Phone:317-363-6006
Mailing Address - Fax:
Practice Address - Street 1:455 JORDAN RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46217-4009
Practice Address - Country:US
Practice Address - Phone:317-363-6006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN317-363-6006OtherOTHER INSURANCE