Individual provider · Type 1 NPI
Candyce Frey
Nurse Practitioner · Glen Carbon, IL
Practice location
220 Evergreen Ln Unit A
Glen Carbon, IL 62034-1754
Mailing address
916 Talon Dr
O Fallon, IL 62269-1848
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 209.031860 (IL) |
| Nurse Practitioner Primary | 363L00000X | 209.031860 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1881494086
Candyce Frey's National Provider Identifier is 1881494086, issued on Mar 17, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glen Carbon, IL. The record was last updated on Jul 9, 2026.