Provider Demographics
NPI:1316336548
Name:THUNE, CANDACE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:THUNE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 E MILL POND DR
Mailing Address - Street 2:
Mailing Address - City:SELBYVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19975-3617
Mailing Address - Country:US
Mailing Address - Phone:302-381-7726
Mailing Address - Fax:302-364-1900
Practice Address - Street 1:19606 COASTAL HWY UNIT 102
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-8576
Practice Address - Country:US
Practice Address - Phone:302-381-7726
Practice Address - Fax:302-364-1900
Is Sole Proprietor?:No
Enumeration Date:2015-01-12
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0042260163W00000X
DEL8-0010237363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse