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MARY CANDELARIA LVN
NPI 1093170649
Licensed Practical Nurse in Fresno, CA

Active since December 28, 2015
4411 E KINGS CANYON, FRESNO, CA 93702(559) 453-1008 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Candelaria Lvn NPPES

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

MARY CANDELARIA LVN (NPI 1093170649) is an individual licensed practical nurse in Fresno, California, licensed in California (288041) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1093170649
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARY CANDELARIACredential: LVN
Location Address4411 E KINGS CANYONFresno, CA 93702
Mailing Address4411 E Kings Canyon RdFresno, CA 93702 · (559) 453-1008
Phone(559) 453-1008
Sole ProprietorNo
Enumeration DateDecember 28, 2015
✔ NPI 1093170649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in CA · 288041
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4411 E KINGS CANYON, Fresno, CA 93702
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Other Providers at the Same Location NPPES

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

MR. JEFFREY DAVID WATKINS ACSW
Social Worker (Clinical)
4411 E KINGS CANYON
FRESNO, CA 93702
Fresno County (559) 600-0700

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 Mary Candelaria's NPI number?

The NPI number for Mary Candelaria is 1093170649. It was assigned to this individual provider in the NPPES registry on December 28, 2015.

Where is Mary Candelaria located?

Mary Candelaria practices at 4411 E Kings Canyon, Fresno, CA 93702. The listed phone number is (559) 453-1008.

What is Mary Candelaria's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mary Candelaria was last updated on December 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.