Individual
DR. CANDIS LESHAWN HALSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
20519 63RD AVE E, SPANAWAY, WA 98387-5773
(540) 525-8608
Mailing address
20519 63RD AVE E, SPANAWAY, WA 98387-5773
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
61049959
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP.61212180
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61049959
LICENSE
WA
Enumeration date
08/06/2021
Last updated
08/09/2021
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