MRS. CANDACE KATELYNN FAZENBAKER (NPI# 1689288359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689288359 |
| Entity Type | Individual |
| Full Name | MRS. CANDACE KATELYNN FAZENBAKER |
| Credential | CRNP-FNP |
| Practice Address |
301 Hospital Dr Glen Burnie MD 21061-5803 |
| Practice Telephone | 4107874000 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R213040 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
301 HOSPITAL DR |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627507 | Richard Alan Kelton | Preventive Medicine | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2005-05-31 |
| 1871194662 | Rachel Ann Sands | Pharmacist | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-11-06 |
| 1912507500 | Ca'seem Tyler | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-11-01 |
| 1043818651 | Michael Booth | Registered Nurse | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-10-15 |
| 1912504598 | Rachel Janine Weitman | Physician Assistant | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-10-06 |
| 1699385542 | Amanda Theresa Bailey | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-08-05 |
| 1639797046 | Gloria Owusu-seshie | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-07-13 |
| 1447876693 | Ming Li | Nurse Anesthetist, Certified Registered | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-06-23 |
| 1033735279 | Elodie Tendoh | Student in an Organized Health Care Education/Training Program | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-06-23 |
| 1497370597 | Marshall Kyle Mills | Radiology | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083101810 | Marissa Mallari Magtanong | Nurse Practitioner | 665 Rhone Ct, Glen Burnie, MD 21061-4820 | 2018-04-17 |
| 1962917864 | Chantal Tchoumba | Nurse Practitioner | 7704 Abrams Ln, Glen Burnie, MD 21060 | 2017-12-13 |
| 1174504047 | Elaine Malvina Cook | Nurse Practitioner | 123 Roesler Rd, Glen Burnie, MD 21060-6519 | 2005-11-08 |
| 1629621537 | Laura Schultz O'donovan | Nurse Practitioner | 200 Hospital Dr, Glen Burnie, MD 21061-5884 | 2019-07-19 |
| 1780170191 | Aliesha Nicole Mann | Nurse Practitioner | 1600 Crain Hwy S Ste 401, Glen Burnie, MD 21061 | 2018-07-09 |
| 1639697543 | Sarah Masek | Nurse Practitioner | 305 Hospital Dr, Glen Burnie, MD 21061-5805 | 2017-08-31 |
| 1104226505 | Hyesung Pease | Nurse Practitioner | 301 Hospital Dr, Ccu, Glen Burnie, MD 21061-5803 | 2014-09-04 |
| 1578978193 | Siobhan Kirksey | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2014-06-23 |
| 1184067597 | Raymond Paul Zarate | Nurse Practitioner | 301 Hospital Dr, Inpatient Team, Glen Burnie, MD 21061-5803 | 2013-04-16 |
| 1023384310 | Advanced Pain Management Specialists LLC | Nurse Practitioner | 7671 Quarterfield Rd, Suite 301, Glen Burnie, MD 21061-4525 | 2012-03-30 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on MRS. CANDACE KATELYNN FAZENBAKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.