Individual provider · Type 1 NPI

Candice Elaine Bacon, CRNA

Certified Registered Nurse Anesthetist · Louisville, KY

NPI number 1417599200 Active

Practice location

200 E Chestnut St
Louisville, KY 40202-1800

Mailing address

1404B Lischey Ave
Nashville, TN 37207-5103

Other practice locations

  • 800 Rose St, Lexington, KY 40536-1800 · (859) 323-5956

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X203898 (TN)
Certified Registered Nurse Anesthetist Primary 367500000X3014174 (KY)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

226 other providers at this address

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About NPI 1417599200

Candice Elaine Bacon, CRNA's National Provider Identifier is 1417599200, issued on Oct 13, 2019. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Louisville, KY. The record was last updated on Aug 21, 2025.