Provider Demographics
NPI:1841734043
Name:MURPHY, CANDACE (FNP-BC)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 TOWN CENTER PLZ STE G130
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-5058
Mailing Address - Country:US
Mailing Address - Phone:916-887-7360
Mailing Address - Fax:
Practice Address - Street 1:2055 TOWN CENTER PLZ STE G130
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-5058
Practice Address - Country:US
Practice Address - Phone:916-887-7360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-07
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95005229363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily