Individual
MRS. CANDICE MARIA VAKNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1057 CHENEY HWY UNIT 4, TITUSVILLE, FL 32780-6356
(321) 385-7210
(321) 425-8536
Mailing address
1057 CHENEY HWY, TITUSVILLE, FL 32780-6356
(321) 385-7210
(321) 425-8536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9329589
FL
164W00000X
Licensed Practical Nurse
PN5164388
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP9329589
FL
Other
Enumeration date
11/21/2007
Last updated
03/16/2022
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