Individual
MRS. CANDICE STEPHAN HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE STE 401, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
25555
SC
367500000X
Certified Registered Nurse Anesthetist
3005146
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1082688
REGISTERED NURSE LICENSE
KY
01
—
75795
CRNA CERTIFICATION
KY
Enumeration date
10/24/2006
Last updated
01/13/2026
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