Provider Demographics
NPI:1366935553
Name:TRUDEL, CANDICE (MS, HNC, AHC)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:
Last Name:TRUDEL
Suffix:
Gender:F
Credentials:MS, HNC, AHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HARDY ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03064-2029
Mailing Address - Country:US
Mailing Address - Phone:603-880-4150
Mailing Address - Fax:603-880-6765
Practice Address - Street 1:3 HARDY ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03064-2029
Practice Address - Country:US
Practice Address - Phone:603-880-4150
Practice Address - Fax:603-880-6765
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist