IndividualActive
Candyce Whitehair, RN
NPI 1376406728 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Rehoboth, NM
Provider details
- NPI number
- 1376406728
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 61133 (NM)
Specialties & taxonomies
Nursing Service Providers
Practice location
Po Box 120
Rehoboth, NM 87322-0120
Phone: (505) 721-1896
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 120
Rehoboth, NM 87322-0120
Additional practice locations (1)
- 345 Basileo DrGallup, NM 87301-4655Phone: (505) 721-1800
Registry dates
- Enumerated
- 2025-12-03
- Last updated
- 2025-12-03
- Certified
- 2025-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.