Individual provider · Type 1 NPI

Candace Janine Grisham

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1386443703 Active

Practice location

2910 N 3rd Ave
Phoenix, AZ 85013-4434

Call (844) 324-6684 Map

Mailing address

1800 Orleans St
Baltimore, MD 21287-0010

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386443703

Candace Janine Grisham's National Provider Identifier is 1386443703, issued on Mar 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 22, 2026.