Individual
CANDICE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
074678-21
NH
163W00000X
Registered Nurse
2310377
MA
363L00000X
Nurse Practitioner
074678-23
NH
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP231278
ME
363LP2300X
Primary Care Nurse Practitioner
RN2310377
MA
Other
Enumeration date
04/06/2017
Last updated
05/05/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up