Provider Demographics
NPI:1174709240
Name:MCALESTER, CANDACE (FNP-C)
Entity type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:MCALESTER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14700 VINTAGE PRESERVE PKWY APT 8102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1183
Mailing Address - Country:US
Mailing Address - Phone:281-788-7998
Mailing Address - Fax:
Practice Address - Street 1:22777 SPRINGWOODS VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-1425
Practice Address - Country:US
Practice Address - Phone:346-259-1724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX582886163W00000X
TXAP113927363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
8L8835Medicare PIN
8L8837Medicare PIN
8L8834Medicare PIN
8L8836Medicare PIN
8L8838Medicare PIN