Individual provider · NPI-1

Candance Walencia Brown, RN

Registered Nurse, Wound Care · Fort Pierce, FL

NPI number1912638586

StatusActive

Last updated in NPPESJun 23, 2022

Details

NPI: 1912638586
Entity type: Individual (NPI-1)
Name: Ms. Candance Walencia Brown
Credential: RN
Sex: Female
Sole proprietor: Yes
Enumeration date: Jun 23, 2022
Certification date: Jun 23, 2022
Last updated: Jun 23, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WW0000X	Registered Nurse, Wound Care	9360064	FL	Yes
163WC0400X	Registered Nurse, Case Management	9360064	FL
163WC2100X	Registered Nurse, Continence Care	9360064	FL
163WD0400X	Registered Nurse, Diabetes Educator	9360064	FL
163WI0500X	Registered Nurse, Infusion Therapy	9360064	FL
163WX1500X	Registered Nurse, Ostomy Care	9360064	FL

Practice location

2223 S 25th St
Fort Pierce, FL 34947-4796

Phone 772-667-0107 · Fax 772-448-8825

Mailing address

2223 S 25th St
Fort Pierce, FL 34947-4796

Phone 772-667-0107 · Fax 772-448-8825

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