Provider Demographics
NPI:1699744599
Name:ASH, CANDACE DAWN (FNP)
Entity type:Individual
Prefix:MS
First Name:CANDACE
Middle Name:DAWN
Last Name:ASH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:CANDACE
Other - Middle Name:DAWN
Other - Last Name:LOVELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1275 THARP RD
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-2645
Mailing Address - Country:US
Mailing Address - Phone:530-749-3242
Mailing Address - Fax:530-749-3248
Practice Address - Street 1:1352 COLUSA HWY STE C
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-9147
Practice Address - Country:US
Practice Address - Phone:530-618-8178
Practice Address - Fax:530-618-8031
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017755363LF0000X
SC18003363LF0000X, 163W00000X
AK102758363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse