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COURTNEY RHAE CANDELARIA NP
NPI 1083446462
Nurse Practitioner - Neonatal, Critical Care in Boise, ID

Active since August 15, 2024
190 E BANNOCK ST, BOISE, ID 83712(208) 381-2088(208) 381-2893 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 21, 2024, Aug 15, 2024 (2 updates tracked since 2024).

About Courtney Rhae Candelaria Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY RHAE CANDELARIA NP (NPI 1083446462) is an individual neonatal, critical care provider in Boise, Idaho, licensed in Idaho (7161978) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1083446462
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameCOURTNEY RHAE CANDELARIACredential: NP
Location Address190 E BANNOCK STBoise, ID 83712-6241
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 381-2088
Fax(208) 381-2893
Sole ProprietorNo
Enumeration DateAugust 15, 2024
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1083446462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in ID · 7161978
190 E BANNOCK ST, Boise, ID 83712
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Other Names 1

Former Name (1)Courtney Rhae Caudle

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORA M SUAREZ NP
Nurse Practitioner (Neonatal, Critical Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
REBECCA WENSEL P.T.
Physical Therapist
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2138
JENNIFER WOODBURN
Nurse Practitioner
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
MURRY ODONNELL
Occupational Therapist (Feeding, Eating & Swallowing)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-7275
KAITLIN EDMINSTEN DNP, AGACNP-BC
Nurse Practitioner (Acute Care)
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
ALLISON ELISABETH MAY
Nurse Anesthetist, Certified Registered
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2222
DR. MICHAEL FREDERIC KRUG M.D.
Internal Medicine
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-5015
HEATHER CAREW M.D.
Pediatrics
190 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 381-2645

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Candelaria's NPI number?

The NPI number for Courtney Candelaria is 1083446462. It was assigned to this individual provider in the NPPES registry on August 15, 2024. The provider is also known as Courtney Rhae Caudle.

Where is Courtney Candelaria located?

Courtney Candelaria practices at 190 E Bannock St, Boise, ID 83712. The listed phone number is (208) 381-2088.

What is Courtney Candelaria's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

When was this NPI record last updated?

The NPPES record for Courtney Candelaria was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.