Healthcare Provider Details

I. General information

NPI: 1982629168
Provider Name (Legal Business Name): CANDACE L DILLON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5230 CENTRE AVE
PITTSBURGH PA
15232-1304
US

IV. Provider business mailing address

5230 CENTRE AVE NORTH TOWER 5TH FLOOR ROOM 538
PITTSBURGH PA
15232-1304
US

V. Phone/Fax

Practice location:
  • Phone: 412-623-3426
  • Fax:
Mailing address:
  • Phone: 724-678-1692
  • Fax: 412-864-7708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP007837
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: