| NPI | 1013320373 |
|---|---|
| Former Name | CANDICE BURNSIDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5021423) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004095) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95026562) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 212783) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2026-06-12 |