Provider Demographics
NPI:1235935875
Name:HALSEY, CANDICE
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:
Last Name:HALSEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 DELSAN CT
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14216-1212
Mailing Address - Country:US
Mailing Address - Phone:716-418-2484
Mailing Address - Fax:
Practice Address - Street 1:94 DELSAN CT
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14216-1212
Practice Address - Country:US
Practice Address - Phone:716-418-2484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula