Individual
CANDICE ELISE STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
713 TROY SCHENECTADY RD STE 224, LATHAM, NY 12110-2490
(518) 269-4700
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
346060
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06163895
—
NY
Enumeration date
07/13/2020
Last updated
04/03/2026
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