Candace Nichole Emmendorfer in Cape Girardeau - Physician Assistant

Candace Nichole Emmendorfer - NPI 1831392620

Candace Nichole Emmendorfer is a Physician Assistant in Cape Girardeau, Missouri. Candace Nichole Emmendorfer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Candace Nichole Emmendorfer is 1831392620. The last update date is 2021-03-02.

Candace Nichole Emmendorfer's current location address is 48 Doctors Park, Cape Girardeau, Missouri. You can contact this provider via phone number 5733358257 and fax number 5733358424. The mailing address for Candace Nichole Emmendorfer is 48 Doctors Park, Cape Girardeau, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Candace Nichole Emmendorfer
Address 48 Doctors Park, Cape Girardeau, Missouri
Phone Number 5733358257
Fax Number 5733358424
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1831392620
Provider Enumeration Date 2007-06-08
Last Updated Date 2021-03-02

Provider Mailing Address Detail

Address 48 Doctors Park
City Cape Girardeau
State Missouri (MO)
Post Code 637034928
Phone Number 5733358257
Fax Number 5733358424

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 2012042181
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Candace Nichole Emmendorfer

What is the unique identifier code issued to Candace Nichole Emmendorfer by the Centers for Medicare & Medicaid Services?

The Candace Nichole Emmendorfer has been assigned the NPI (National Provider Identifier) 1831392620. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Candace Nichole Emmendorfer?

The Candace Nichole Emmendorfer is situated at 48 Doctors Park, in the city of Cape Girardeau, state of MO, with the zip code 637034928.

What is Candace Nichole Emmendorfer's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Candace Nichole Emmendorfer is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date was the 1831392620 assigned to Candace Nichole Emmendorfer?

The Candace Nichole Emmendorfer was issued its 1831392620 on 2007-06-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Candace Nichole Emmendorfer most recently updated or revised?

The details related to Candace Nichole Emmendorfer, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-02.

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