MEDICARE: MS. CANDICE ANNE FLOOD R.N. N.P.

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	363LW0102X	Women's Health Nurse Practitioner	247796	CA

General Provider Information

NPI Number	:	1861619876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CANDICE ANNE FLOOD R.N. N.P.

Provider Business Mailing Address
First Line	:	385 XIMENO AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-2953
Country	:	US
Telephone Number	:	562-833-2483
Fax Number	:

Provider Business Practice Location Address
First Line	:	1066 ATLANTIC AVE STE D
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-3400
Country	:	US
Telephone Number	:	562-590-2241
Fax Number	:

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

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	07/08/2007

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