Most Relevant Information
Provider Data
| NPI Number: | 1003315532 |
| Provider Name: | CANDICE M BEARDEN LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 4703108760 |
Most Important Dates
| Enumeration Date: | 02/10/2018 |
| Last Updated: | 02/10/2018 |
Provider Practice Location
4641 W ALICE ST
STEVENSVILLE
MI
491279540
Practice Location Phone/Fax
| Phone: | 2693255455 |
| Fax: |
Provider Mailing Location
4641 W ALICE ST
STEVENSVILLE
MI
491279540
Provider Mailing Phone/Fax
| Phone: | 2693255455 |
| Fax: |