Provider Demographics
NPI:1306444617
Name:NICHOLS, CANDACE M (FNP-C)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:M
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CANDACE
Other - Middle Name:M
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:8588 KATY FWY STE 226A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1881
Mailing Address - Country:US
Mailing Address - Phone:713-532-6884
Mailing Address - Fax:713-982-6477
Practice Address - Street 1:8588 KATY FWY STE 226A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1881
Practice Address - Country:US
Practice Address - Phone:713-532-6884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1016313363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily