Healthcare Provider Details

I. General information

NPI: 1790606093
Provider Name (Legal Business Name): CANDICE YODER HORSEFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9850 W ST LUKES DR # 221
NAMPA ID
83687-7912
US

IV. Provider business mailing address

9850 W ST LUKES DR # 221
NAMPA ID
83687-7912
US

V. Phone/Fax

Practice location:
  • Phone: 706-969-8123
  • Fax:
Mailing address:
  • Phone: 706-969-8123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number78703
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: