Candice R Breeden in Edmond - Physician Assistant
Candice R Breeden - NPI 1598716730
Candice R Breeden is a Physician Assistant in Edmond, Oklahoma. Candice R Breeden practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Candice R Breeden is 1598716730. The last update date is 2019-09-16.
Candice R Breeden's current location address is 1701 Renaissance Blvd Ste 110, Edmond, Oklahoma. You can contact this provider via phone number 4058444978 and fax number 4058440562. The mailing address for Candice R Breeden is 1701 Renaissance Blvd Ste 110, Edmond, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candice R Breeden |
|---|---|
| Address | 1701 Renaissance Blvd Ste 110, Edmond, Oklahoma |
| Phone Number | 4058444978 |
| Fax Number | 4058440562 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1598716730 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2019-09-16 |
Provider Mailing Address Detail
| Address | 1701 Renaissance Blvd Ste 110 |
|---|---|
| City | Edmond |
| State | Oklahoma (OK) |
| Post Code | 730133084 |
| Phone Number | 4058444978 |
| Fax Number | 4058440562 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA1512 |
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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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What is the Candice R Breeden's unique identification number?
The Candice R Breeden has been assigned the NPI (National Provider Identifier) Number 1598716730 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Candice R Breeden?
The Candice R Breeden is situated at 1701 Renaissance Blvd Ste 110, in the city of Edmond, state of OK, with the zip code 730133084.
What is Candice R Breeden's area of expertise and its corresponding taxonomy classification?
The Candice R Breeden's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Candice R Breeden receive the assignment of its 1598716730 from the Centers for Medicare & Medicaid Services?
The Candice R Breeden was issued its 1598716730 by the Centers for Medicare & Medicaid Services on 2006-05-12.
When was the information regarding Candice R Breeden most recently updated?
The details pertaining to the Candice R Breeden, including its address, specialty, and other relevant information, were last refreshed on 2019-09-16.
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