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1447493952 NPI number — CANDICE RENEE DOWD CRNA

NPI Number: 1447493952
Health Care Provider/Practitioner: CANDICE RENEE DOWD CRNA

Information about “1447493952” NPI (CANDICE RENEE DOWD CRNA) exists in 1447493952 in HTML format HTML  |  1447493952 in plain Text format TXT  |  1447493952 in PDF (Portable Document Format) PDF  |  1447493952 in an XML format XML  formats.

NPI Number : 1447493952 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447493952",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DOWD",
    "FirstName": "CANDICE",
    "MiddleName": "RENEE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CRNA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TODD",
    "OtherFirstName": "CANDICE",
    "OtherMiddleName": "RENEE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "CRNA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "10455 NC 41 HWY W",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BLADENBORO",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28320-7743",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "910-866-5883",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1638 OWEN DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAYETTEVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28304-3424",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-615-4000",
    "PracticeLocationAddressFaxNumber": "910-321-6236",
    "EnumerationDate": "04/14/2009",
    "LastUpdateDate": "07/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "189215",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": "5532",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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