Candace Marie Vander Wal, MS, LAT, ATC, CSCS

Athletic Trainer · Bismarck, ND

Individual Active NPI

NPI number 1225697899

Practice location

3451 N 14TH St Ste C
Bismarck, ND 58503-1611
Phone
(701) 323-1125

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NPI record

NPI
1225697899
Entity type
Individual (Type 1)
Enumeration date
June 7, 2019
Last updated
June 7, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 683-15 ND

About Candace Vander Wal

Candace Marie Vander Wal, MS, LAT, ATC, CSCS is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 3451 N 14TH St Ste C, Bismarck, ND 58503-1611. The NPI number 1225697899 was assigned on June 7, 2019 and the record was last updated on June 7, 2019.

Candace Vander Wal lists a license in the registry: #683-15 (ND) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Candace Marie Vander Wal, MS, LAT, ATC, CSCS?

The NPI number is 1225697899.

What is the phone number of Candace Vander Wal?

The phone number listed for the practice location is (701) 323-1125.

Where is Candace Vander Wal located?

3451 N 14TH St Ste C, Bismarck, ND 58503-1611.

What is the taxonomy code for Candace Vander Wal?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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