Provider Demographics
NPI:1952025959
Name:LAYTON, CANDIS HOLLY (FNP-C)
Entity Type:Individual
Prefix:
First Name:CANDIS
Middle Name:HOLLY
Last Name:LAYTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:CANDIS
Other - Middle Name:H
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:14603 HUEBNER RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5469
Mailing Address - Country:US
Mailing Address - Phone:336-455-1662
Mailing Address - Fax:
Practice Address - Street 1:14603 HUEBNER RD UNIT 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5469
Practice Address - Country:US
Practice Address - Phone:210-468-5426
Practice Address - Fax:210-764-5440
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1090330207R00000X, 208200000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery