Individual
CANDI D. ERVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3045 W REPUBLIC RD, SPRINGFIELD, MO 65807-4682
(417) 889-0056
Mailing address
3045 W REPUBLIC RD, SPRINGFIELD, MO 65807-4682
(417) 889-0056
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
142247
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428408215
—
MO
01
—
431560263004
TRICARE
—
01
—
P00113023
RAILROAD MEDICARE
—
Enumeration date
12/01/2006
Last updated
04/16/2026
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