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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CANDICE VICENCIO, DNP, FNP-BC

Active

CANDICE VICENCIO, DNP, FNP-BC is a Nurse Practitioner healthcare provider located in ROCKFORD, Illinois. NPI 1003442880 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · ROCKFORD, IL

Registration Details

NPI Number
1003442880
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2020 (6.4250521276331 yrs)
Last Updated
May 6, 2024
License
209020086 (IL)

Practice Information

Address
4215 NEWBURG RD
ROCKFORD, IL, 611086479
Browse IL providers · Browse ZIP 61108
Phone
8159888500
Fax
8159775956
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in ROCKFORD, IL

Name Credential NPI
MS. KATHLEEN EDNA WILLIAMS APRN 1063418143
REBECCA ZIMMERMAN N.P. 1255330635
MRS. CHRISTINE KRAUSE A.P.N. 1801886890
LUCY MARTIN 1285606970
MRS. JACQUELINE G MAY NP 1699715706
MRS. MONICA L LYNCH APN 1295779171
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.