Individual provider · Type 1 NPI

Candice Balfour

Nurse Practitioner · Bridgeport, CT

NPI number 1194643460 Active

Practice location

267 Grant St
Bridgeport, CT 06610-2805

Mailing address

151 Forest Rd
West Haven, CT 06516-1606

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X17622 (CT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194643460

Candice Balfour's National Provider Identifier is 1194643460, issued on Jul 6, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 6, 2026.