Individual
CANDICE PANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 WILLOW CREEK RD STE 2200, PRESCOTT, AZ 86301-1614
(928) 445-6025
(928) 778-3026
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
TAP8792
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
AP8792
AZ
363LG0600X
Gerontology Nurse Practitioner
TAP8792
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179914
—
AZ
01
—
AP8792
LICENSING
AZ
01
—
RN098583
STATE BOARD OF NURSING
AZ
01
—
TAP8792
STATE BOARD OF NURSING
AZ
Enumeration date
07/06/2016
Last updated
12/01/2025
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