CANDACE HOUSTON DEYERLING FNP-C NPI 1720502057

NPI Information

NPI: 1720502057
Provider Name: CANDACE HOUSTON DEYERLING, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
130 E CLEVELAND RD
GRANGER, IN
ZIP 46530
Phone: (574) 247-2221
Get Directions

Candace Houston Deyerling, FNP-C is a family nurse practitioner in Granger, IN. Candace Houston Deyerling, FNP-C NPI is 1720502057. 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:

130 E CLEVELAND RD
GRANGER, IN
ZIP 46530-620
Phone: (574) 247-2221

The NPI 1720502057 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 7/28/2017 and was last updated on 10/2/2021.

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	363LF0000X	Nurse Practitioner	Family	0993200	COLORADO	No
2	363LF0000X	Nurse Practitioner	Family	71010998A	INDIANA	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: 5/5/2024

NPI Synchronization or Removal

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