CANDYCE WILLIS NPI 1528605847

NPI Information

NPI: 1528605847
Provider Name: CANDYCE WILLIS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
3636 EXECUTIVE CENTER DR STE G70
AUSTIN, TX
ZIP 78731
Phone: (512) 371-9555
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Candyce Willis is a psychiatric/mental health nurse practitioner in Austin, TX. Candyce Willis NPI is 1528605847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3636 EXECUTIVE CENTER DR STE G70
AUSTIN, TX
ZIP 78731-628
Phone: (512) 371-9555
Fax: (512) 367-5756

The enumeration date for this NPI number is 12/5/2019 and was last updated on 12/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		860008	TEXAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP143520	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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