Provider Information for 1063554053
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mrs. CANDACE KAY NEWLAND LIMHP
Sex: Female
NPI: 1063554053
Last Updated: 2024-09-09
Certification Date: 2024-09-09
Certification Date: 2024-09-09
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1063554053 | ||||||||
| Enumeration Date | 2007-02-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 809 S 174TH ST OMAHA, NE 68118-3540 United States Phone: 402-991-8093 | Fax:402-505-9726 | ||||||||
| Primary Practice Address | 809 S 174TH ST OMAHA, NE 68118-3450 United States Phone: 402-991-8093 | Fax:402-505-9726 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|