Candice Megan Grismore, is a
Licensed Vocational Nurse based in San Andreas, California. Candice Megan Grismore is licensed to practice in California (license number VN214144) and her current practice location is
891 Mountain Ranch Rd, San Andreas, California. She can be reached at her office (for appointments etc.) via phone at
(209) 754-6066.
NPI number for Candice Megan Grismore is 1861123622 and her current mailing address is 891 Mountain Ranch Rd, San Andreas, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861123622.
Provider's Profile
Full Name | Candice Megan Grismore |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 891 Mountain Ranch Rd, San Andreas, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861123622
- Provider Enumeration Date: 06/22/2022
- Last Update Date: 06/22/2022
Medical Identifiers
Medical identifiers for Candice Megan Grismore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861123622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | VN214144 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candice Megan Grismore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Candice Megan Grismore, 891 Mountain Ranch Rd, San Andreas, CA 95249-9713 Ph: () - | Candice Megan Grismore, 891 Mountain Ranch Rd, San Andreas, CA 95249-9713 Ph: (209) 754-6066 |
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