Candy C Marshall, CFNP
Nurse Practitioner in Canyon, TX. Individual provider (NPI-1).
NPI number1912920844
StatusActive
Last updated in NPPESDec 4, 2008
Details
- NPI
- 1912920844
- Entity type
- Individual (NPI-1)
- Name
- Candy C Marshall
- Credential
- CFNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Dec 4, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 517366 | TX | Yes |
Practice location
2620 Russell Long BlvdCanyon, TX 79016
Phone 806-651-3287 · Fax 806-651-3289
Mailing address
2620 Russell Long BlvdCanyon, TX 79016
Phone 806-651-3287 · Fax 806-651-3289
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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