Provider Demographics
NPI:1801858139
Name:BENDER, CANDACE MARIE (RN)
Entity type:Individual
Prefix:MS
First Name:CANDACE
Middle Name:MARIE
Last Name:BENDER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CANDACE
Other - Middle Name:MARIE
Other - Last Name:OLSTAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2868 MAPLE WOOD CT
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-5184
Mailing Address - Country:US
Mailing Address - Phone:608-212-3628
Mailing Address - Fax:
Practice Address - Street 1:2868 MAPLE WOOD CT
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-5184
Practice Address - Country:US
Practice Address - Phone:608-212-3628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI83277-030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health