Provider Demographics
NPI:1972391589
Name:TAYLOR, CANDICE LAVETTE
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:LAVETTE
Last Name:TAYLOR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1547 10TH ST N
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2024
Mailing Address - Country:US
Mailing Address - Phone:205-292-0970
Mailing Address - Fax:
Practice Address - Street 1:1547 10TH ST N
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2024
Practice Address - Country:US
Practice Address - Phone:205-292-0970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker