Provider Demographics
NPI:1053611798
Name:CRAMPTON, CANDACE JO (STNA)
Entity type:Individual
Prefix:MS
First Name:CANDACE
Middle Name:JO
Last Name:CRAMPTON
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:CANDY
Other - Middle Name:JO
Other - Last Name:BROWNFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1256 GREEN VALLEY DRIVE
Mailing Address - Street 2:APT. M
Mailing Address - City:HEATH
Mailing Address - State:OH
Mailing Address - Zip Code:43056
Mailing Address - Country:US
Mailing Address - Phone:740-281-3685
Mailing Address - Fax:
Practice Address - Street 1:205 MAIN STREET
Practice Address - Street 2:
Practice Address - City:KIRKERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43033
Practice Address - Country:US
Practice Address - Phone:740-927-3209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3651427374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide