Candice Vicencio
Nurse Practitioner
1235 N Mulford Rd Ste 222
Rockford
, Illinois 61107-3879
Candice Vicencio
Nurse Practitioner
1235 N Mulford Rd Ste 222
Rockford
, Illinois 61107-3879
(815) 654-5342
Write a Review Share Save Call
About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Candice Vicencio
- 2202 Harlem Rd Ste 200
- Loves Park, IL
- Zip : 61111-2754
- Fax : (815) 654-5342
- Phone : (815) 877-4848
Second Address
- Candice Vicencio
- 1235 N Mulford Rd Ste 222
- Rockford, IL
- Zip : 61107-3879
- Phone : (815) 397-8400
Reviews
FAQs
Where did Candice Vicencio attend graduate school?
Where did Candice Vicencio do her residency?
Where did Candice Vicencio do her fellowship?
Is Candice Vicencio board certified?
What type of doctor is Candice Vicencio
In what state does Candice Vicencio practice in?
Where is Candice Vicencio ’s practice located?
What is Candice Vicencio ’s gender?
Is Candice Vicencio a sole practitioner?
Is Candice Vicencio accepting new patients?
What languages does Candice Vicencio speak?
Does Candice Vicencio accept insurance?
Does Candice Vicencio offers telemedicine?
What is Candice Vicencio ’s professional license number?
What is Candice Vicencio ’s NPI number?
Does Candice Vicencio have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209020086 | IL |
National Provider Identifier
| NPI | 1003442880 |
|---|---|
| Provider Name | Candice Vicencio |
| First Address | Loves Park, IL 61111-2754 |
| Second Address | Rockford, IL 61107-3879 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/03/2020 |
| Last Update Date | 12/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.