Individual
CANDICE SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
222 MEDICAL CIRCLE, MOREHEAD, KY 40351-1179
(606) 783-6500
(606) 783-6570
Mailing address
PO BOX 968, MOREHAED, KY 40351-0968
(866) 413-9534
(260) 407-4428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024174917
VA
367500000X
Certified Registered Nurse Anesthetist
3016261
KY
367500000X
Certified Registered Nurse Anesthetist
ARNP9201876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS
FL
05
—
PENDING
—
FL
Enumeration date
06/17/2013
Last updated
03/29/2022
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