Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candice Lauren Raynor, NP

Individual provider Nurse Practitioner · NPI 1134481104

Candice Lauren Raynor, NP is a Nurse Practitioner in South Lake Tahoe, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone: (530) 543-5497
Fax: (530) 541-8683
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 21581 (CA)

Record details

NPI number1134481104
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 14, 2012
Last updated in NPPESJuly 16, 2014

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