Individual
CANDACE MARIE FERENCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
615 RIDGE RD, ROXBORO, NC 27573-4629
(336) 503-5640
Mailing address
DUKE UNIVERSITY MEDICAL CTR, DUMC 3094, DURHAM, NC 27710-0001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3044
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186860
RN LICENSE
—
05
—
8052292
—
NC
Enumeration date
10/23/2006
Last updated
11/02/2023
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