Provider Demographics
NPI:1306567979
Name:SIMPSON, CANDICE (CNA)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:
Last Name:SIMPSON
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 1:340 E ARCH ST
Mailing Address - Street 2:
Mailing Address - City:IRONWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49938-2048
Mailing Address - Country:US
Mailing Address - Phone:559-250-9591
Mailing Address - Fax:
Practice Address - Street 1:340 E ARCH ST
Practice Address - Street 2:
Practice Address - City:IRONWOOD
Practice Address - State:MI
Practice Address - Zip Code:49938-2048
Practice Address - Country:US
Practice Address - Phone:559-250-9591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1237192536Medicaid