# CANDRA COLINETTE MCINTOSH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1992947220
- **Gender:** F
- **Credential:** APRN, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 1116586 | KY | — |
| 163W00000X | Registered Nurse | RN.330155 | OH | — |
| 163WP0200X | Pediatric Registered Nurse | 330155 | OH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0034455 | OH | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 4062714 | KY | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN.CNP.0034455 | OH | — |

## Other

- **Enumeration date:** 04/01/2009
- **Last updated:** 08/24/2026
