MEDICARE: MRS. CANDICE CHRISTINA MCKINNON C.N.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385H00000X	Respite Care	401722	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225169543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CANDICE CHRISTINA MCKINNON C.N.A

Provider Business Mailing Address
First Line	:	PO BOX 773575
Second Line	:
City	:	EAGLE RIVER
State	:	AK
Zip	:	99577-3575
Country	:	US
Telephone Number	:	907-696-4433
Fax Number	:

Provider Business Practice Location Address
First Line	:	17250 PALOS VERDES DR
Second Line	:
City	:	EAGLE RIVER
State	:	AK
Zip	:	99577-8133
Country	:	US
Telephone Number	:	907-696-4433
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1801218409 — MR. PIERRE ALEXANDER
Practice Location Address:

8133 EAGLE CIR
OKLAHOMA CITY, OK
73135-6077

Practice Phone: 405-537-4652
Practice Fax:

1376177253 — BRYAN LAMONT VINSON JR.
Practice Location Address:

8133 EAGLE CIR
OKLAHOMA CITY, OK
73135-6077

Practice Phone: 405-210-9502
Practice Fax:

1073619243 — ARLENE FROBISH OTR,CHT
Practice Location Address:

8133 SALT RIVER RD
FORT WORTH, TX
76137-5263

Practice Phone: 925-984-5606
Practice Fax:

1417673872 — ASHIA LAUREL WEHBE
Practice Location Address:

521 W FORT ISLAND TRL STE E
CRYSTAL RIVER, FL
34429-8133

Practice Phone: 352-563-5858
Practice Fax:

1902325558 — MS. LINDSAY RACHEL EKISS ANP
Practice Location Address:

17025 SNOWMOBILE LN STE 101
EAGLE RIVER, AK
99577-7044

Practice Phone: 907-615-0054
Practice Fax: 808-207-3662

1558832246 — TIANA AVERY LMT
Practice Location Address:

13135 OLD GLENN HWY STE 100
EAGLE RIVER, AK
99577-7584

Practice Phone: 715-415-1925
Practice Fax:

Directions to “ MRS. CANDICE CHRISTINA MCKINNON C.N.A” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.