MRS. TRACEY CANDELORA ARNP NPI 1689754558

NPI Information

NPI: 1689754558
Provider Name: MRS. TRACEY CANDELORA, ARNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: SOUTH BROWARD HOSPITAL DISTRICT

PECOS Registration: Yes

Address:
801 N FLAMINGO RD STE 11
PEMBROKE PINES, FL
ZIP 33028
Phone: (954) 844-9790
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MRS. Tracey Candelora, ARNP is an adult health nurse practitioner in Pembroke Pines, FL with 26 years of experience. MRS. Tracey Candelora, ARNP NPI is 1689754558. 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:

801 N FLAMINGO RD STE 11
PEMBROKE PINES, FL
ZIP 33028-046
Phone: (954) 844-9790
Fax: (954) 443-4751

The NPI 1689754558 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 3/17/2021.

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	363LA2200X	Nurse Practitioner	Adult Health	APRN1610012	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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