Healthcare Provider Details

I. General information

NPI: 1699744599
Provider Name (Legal Business Name): CANDACE DAWN ASH FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CANDACE DAWN LOVELAND RN

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 02/14/2023
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1352 COLUSA HWY STE C
YUBA CITY CA
95993-9147
US

IV. Provider business mailing address

1275 THARP RD
YUBA CITY CA
95993-2645
US

V. Phone/Fax

Practice location:
  • Phone: 530-618-8178
  • Fax: 530-618-8031
Mailing address:
  • Phone: 530-749-3242
  • Fax: 530-749-3248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95017755
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: