Provider Demographics
NPI:1609751213
Name:RIDDICK, CANDANCE MICHELE (MED, RN CD)
Entity type:Individual
Prefix:
First Name:CANDANCE
Middle Name:MICHELE
Last Name:RIDDICK
Suffix:
Gender:F
Credentials:MED, RN CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7660 WOODPARK LN APT 204
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2749
Mailing Address - Country:US
Mailing Address - Phone:301-335-9760
Mailing Address - Fax:
Practice Address - Street 1:7660 WOODPARK LN APT 204
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2749
Practice Address - Country:US
Practice Address - Phone:301-335-9760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty