1790580462 NPI number — MRS. CANDICE D LONARDO BCDNMA, BCAC, HHP

Table of content: MRS. CANDICE D LONARDO BCDNMA, BCAC, HHP (NPI 1790580462)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790580462 NPI number — MRS. CANDICE D LONARDO BCDNMA, BCAC, HHP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LONARDO
Provider First Name:
CANDICE
Provider Middle Name:
D
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
BCDNMA, BCAC, HHP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790580462
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/28/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8668 JOHN HICKMAN PKWY STE 701
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRISCO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75034-9385
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-598-0598
Provider Business Mailing Address Fax Number:
214-407-7356

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8668 JOHN HICKMAN PKWY STE 701
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRISCO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75034-9385
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-598-0598
Provider Business Practice Location Address Fax Number:
214-407-7356
Provider Enumeration Date:
02/17/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 175F00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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