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

Candy Jo Moore

Individual provider Case Management Registered Nurse · NPI 1467065904

Candy Jo Moore is a Case Management Registered Nurse in San Mateo, California. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020

Practice location Address checks out

400 S El Camino Real
San Mateo, CA 94402-1704
Phone: (844) 670-2273
Show map & directions

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

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence 470429866 (MI)

Record details

NPI number1467065904
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 25, 2020
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address110 E 4th St, Evart, MI 49631-9556

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