MEDICARE: MRS. CANDACE SUE WALDEN

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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1720945736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CANDACE SUE WALDEN

Provider Business Mailing Address
First Line	:	3464 GRANT ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68111-3641
Country	:	US
Telephone Number	:	402-320-3250
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 N 30TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68111-3120
Country	:	US
Telephone Number	:	531-299-1700
Fax Number	:	531-266-1701

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

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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Directions to “ MRS. CANDACE SUE WALDEN ” Practice Location

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