Individual provider · Type 1 NPI

Candyce Audra Whitehair, RN

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Rehoboth, NM

NPI number 1376406728 Active

Practice location

PO Box 120
Rehoboth, NM 87322-0120

Call (505) 721-1896 Map

Other practice locations

345 Basileo Dr, Gallup, NM 87301-4655 · (505) 721-1800

Specialties and licenses

Taxonomy	Code	License
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary	163WP0807X	61133 (NM)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

About NPI 1376406728

Candyce Audra Whitehair, RN's National Provider Identifier is 1376406728, issued on Dec 3, 2025. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Rehoboth, NM. The record was last updated on Dec 3, 2025.