Individual provider · Type 1 NPI

Candy Jo Moore

Case Management Registered Nurse · San Mateo, CA

NPI number 1467065904 Active

Practice location

400 S El Camino Real
San Mateo, CA 94402-1704

Mailing address

110 E 4th St
Evart, MI 49631-9556

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X470429866 (MI)

Case Management Registered Nurse: Definition to come...

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About NPI 1467065904

Candy Jo Moore's National Provider Identifier is 1467065904, issued on Aug 25, 2020. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in San Mateo, CA. The record was last updated on Jan 14, 2026.