CANDACE GABRIELLE RENFRO AGACNP NPI 1841928512

NPI Information

  • NPI: 1841928512
  • Provider Name: CANDACE GABRIELLE RENFRO, AGACNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 BOURLAND RD STE 150
    KELLER, TX
    ZIP 76248
  • Phone: (817) 753-6250

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NPI Details

Candace Gabrielle Renfro, AGACNP is an adult health nurse practitioner in Keller, TX with 9 years of experience. Candace Gabrielle Renfro, AGACNP NPI is 1841928512. 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:

100 BOURLAND RD STE 150
KELLER, TX
ZIP 76248-595
Phone: (817) 753-6250

The NPI 1841928512 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 8/10/2022 and was last updated on 5/27/2025.

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
1363LA2100XNurse PractitionerAcute Care1068528TEXASNo
2363LA2200XNurse PractitionerAdult Health1068528TEXASYes

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: 11/21/2025

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