IndividualActive
Candace Tallis, RN
NPI 1184591406 · Registered Nurse · Kayenta, AZ
Provider details
- NPI number
- 1184591406
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN217242 (AZ)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
Hwy 180 Mp 394.3
Kayenta, AZ 86033-0368
Phone: (928) 697-4100
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 368
Kayenta, AZ 86033-0368
Registry dates
- Enumerated
- 2025-10-21
- Last updated
- 2025-10-21
- Certified
- 2025-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.