Individual provider · Type 1 NPI
Candice Brantley, FNP-C
Family Nurse Practitioner · Squaw Valley, CA
NPI number
1275926164
Active
Practice location
30924 E Kings Canyon Rd
Squaw Valley, CA 93675-9601
Fax (559) 332-9499
Mailing address
30924 E Kings Canyon
Squaw Valley, CA 93675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95001891 (CA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1275926164
Candice Brantley, FNP-C's National Provider Identifier is 1275926164, issued on Mar 17, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Squaw Valley, CA. The record was last updated on Mar 17, 2015.