MEDICARE: CHRISTINE CANDON RN

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	363L00000X	Nurse Practitioner	101.0139397	VT
2	163WG0000X	General Practice Registered Nurse	222254	LA

General Provider Information

NPI Number	:	1841060951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE CANDON RN

Provider Business Mailing Address
First Line	:	5518 CHARLOTTE DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70122-2608
Country	:	US
Telephone Number	:	802-342-0994
Fax Number	:

Provider Business Practice Location Address
First Line	:	5518 CHARLOTTE DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70122-2608
Country	:	US
Telephone Number	:	802-342-0994
Fax Number	:

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

Provider Enumeration Date	:	01/09/2024
Last Update Date	:	06/12/2026

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