Healthcare Provider Details

I. General information

NPI: 1316336548
Provider Name (Legal Business Name): CANDACE THUNE PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2015
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19606 COASTAL HWY UNIT 102
REHOBOTH BEACH DE
19971-8576
US

IV. Provider business mailing address

188 E MILL POND DR
SELBYVILLE DE
19975-3617
US

V. Phone/Fax

Practice location:
  • Phone: 302-381-7726
  • Fax: 302-364-1900
Mailing address:
  • Phone: 302-381-7726
  • Fax: 302-352-2306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0010237
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL1-0042260
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: