Individual
CANDICE DAWN STANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC, FNP
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Mailing address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
151966
MO
363LF0000X
Family Nurse Practitioner
Primary
7698802-4405
UT
363LF0000X
Family Nurse Practitioner
NPF13877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151966
RN-FNP MO STATE LICENSE
MO
01
—
7698802-4405
UTAH APRN LICENSE
UT
01
—
7698802-8900
UTAH APRN CONTROLLED SUBSTANCE SCHEDULE 2-5 LICENSE
UT
Enumeration date
12/13/2006
Last updated
03/07/2023
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