| Candice Henson, NP | |
|
107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | |
| (304) 548-7272 | |
| (304) 548-7149 |
| Full Name | Candice Henson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 107 Koontz Ave Ste 200, Clendenin, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841534807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 120141 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cabin Creek Health Center Inc | 2466431101 | 41 |
| Entity Name | Cabin Creek Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366495525 PECOS PAC ID: 2466431101 Enrollment ID: O20130905000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Candice Henson, NP 104 Alex Ln, Charleston, WV 25304-2952 Ph: (304) 734-2020 | Candice Henson, NP 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 Ph: (304) 548-7272 |
Olivia Richardson, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-548-7272 Fax: 888-987-8014 | |
Eva Jo Ditmer, APRN, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-548-7272 | |
Shawna Marie Lusk, APRN-CNP (FNP) Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-734-2040 Fax: 304-734-2047 | |
Kerry Drabish, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-548-7272 | |
Mrs. Katie Sue Hunt, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 107 Koontz Ave, Clendenin, WV 25045 Phone: 304-548-7272 Fax: 304-548-7149 |