National Provider Identifier

Candice Renita Tanksley, R.N

Candice Renita Tanksley, R.N is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 743-7049.

NPI 1174076665Rochester, NYRegistered Nurse

Profile Overview

NPI
1174076665
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
August 01, 2016
Last Updated
August 01, 2016

Practice Location

  • 735 Edgecreek Trl
  • Rochester, NY 14609-1880

Phone: (585) 743-7049

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1174076665
Entity Type
Individual
Last Name
Tanksley
First Name
Candice
Middle Name
Renita
Name Prefix
MS.
Credential
R.N
Mailing Street Address
735 Edgecreek Trl
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-1880
Mailing Country
US
Mailing Phone
(585) 743-7049
Practice Street Address
735 Edgecreek Trl
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14609-1880
Practice Country
US
Practice Phone
(585) 743-7049
Enumeration Date
August 01, 2016
Last Updated
August 01, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)