MEDICARE: CANDICE M. KALIPERSAD APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F403990	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024180854	VA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1049562	TX
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	202201064-NP-PP	OR
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	225488	LA
6	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	27265A	SC
7	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9426153	FL

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	:	1669984605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDICE M. KALIPERSAD APRN

Provider Business Mailing Address
First Line	:	1016 SE 116TH PLACE RD
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34480-6539
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1016 SE 116TH PLACE RD
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34480-6539
Country	:	US
Telephone Number	:	954-376-0114
Fax Number	:

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

Provider Enumeration Date	:	10/31/2017
Last Update Date	:	05/08/2023

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Directions to “ CANDICE M. KALIPERSAD APRN” Practice Location

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