MS. CANDACE ANNE GAVIN RN - NPI 1376972034 - Registered Nurse in Grand Rapids, MI

Q: What is Candace Gavin's NPI number?

The NPI number for Candace Gavin is 1376972034. It was assigned to this individual provider in the NPPES registry on November 4, 2013.

Q: What is Candace Gavin's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Q: When was this NPI record last updated?

The NPPES record for Candace Gavin was last updated on November 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Candace Anne Gavin Rn NPPES

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

MS. CANDACE ANNE GAVIN RN (NPI 1376972034) is an individual psychiatric/mental health, adult provider in Grand Rapids, Michigan, licensed in Michigan (4704132592) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1376972034

Entity TypeIndividualFemale

Primary Taxonomy163WP0809X

Provider Legal NameMS. CANDACE ANNE GAVINCredential: RN

Location Address385 LEONARD ST NEGrand Rapids, MI 49503-1129

Mailing Address400 Curtis St NeGrand Rapids, MI 49505-5145 · (616) 454-4777

Phone(616) 454-4777

Sole ProprietorNo

Enumeration DateNovember 4, 2013

✔ NPI 1376972034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers

Taxonomy Code163WP0809X

License✔ Licensed in MI · 4704132592

385 LEONARD ST NE, Grand Rapids, MI 49503

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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.

JACQUELINE BEASLEY

Social Worker (Clinical)