Provider Demographics
NPI:1962954321
Name:SANDERS, CANDICE LEE (FNP)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:LEE
Last Name:SANDERS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CANDICE
Other - Middle Name:LEE
Other - Last Name:MEADORS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2406 HENDRICKS LAKES DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-2008
Mailing Address - Country:US
Mailing Address - Phone:713-392-0868
Mailing Address - Fax:
Practice Address - Street 1:21212 NORTHWEST FWY STE 605
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5889
Practice Address - Country:US
Practice Address - Phone:281-955-7577
Practice Address - Fax:281-955-5875
Is Sole Proprietor?:No
Enumeration Date:2016-11-01
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132456363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8HQ584OtherBLUE CROSS BLUE SHIELD