Provider Demographics
NPI:1871314195
Name:HOWARD, CANDACE NICOLE (DODD)
Entity type:Individual
Prefix:MISS
First Name:CANDACE
Middle Name:NICOLE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:DODD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1147 CARMANIA AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-4501
Mailing Address - Country:US
Mailing Address - Phone:513-200-2021
Mailing Address - Fax:
Practice Address - Street 1:1147 CARMANIA AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-4501
Practice Address - Country:US
Practice Address - Phone:513-200-2021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-19
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide