Provider Demographics
NPI:1427764257
Name:CANDLE, HOLLY ANN
Entity type:Individual
Prefix:MISS
First Name:HOLLY
Middle Name:ANN
Last Name:CANDLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1554 WHITE AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-1047
Mailing Address - Country:US
Mailing Address - Phone:330-396-3926
Mailing Address - Fax:
Practice Address - Street 1:1554 WHITE AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-1047
Practice Address - Country:US
Practice Address - Phone:330-396-3926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-25
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide