Candus Nicole Antolin
MD | Psychiatry | Child & Adolescent
9923a E. Johnson St, Madigan Annex, Jblm, Tacoma
Washington, 98498
253-968-6485 Maps & DirectionsCandus Nicole Antolin is a Tacoma, Washington based psychiatrist who is specialized in Child & Adolescent. Active license number of Candus Nicole Antolin is MD-21233 for Child & Adolescent in Hawaii. Her current practice location is 9923a E. Johnson St, Madigan Annex, Jblm, Tacoma. Patients can reach her at 253-968-6485. Candus Nicole Antolin is MD in Child & Adolescent and her NPI number (Unique professional ID assigned by NPPES) is 1316449820.
Candus Nicole Antolin has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Candus Nicole Antolin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Candus Nicole Antolin |
| Specialization: | Child & Adolescent |
| Gender: | Female |
| Credentials: | MD |
| Practice Address: | 9923a E. Johnson St, Madigan Annex, Jblm, Tacoma,
Washington, 98498 |
| Phone: | 253-968-6485 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1316449820 |
| NPI Enumeration Date: | 01 Mar, 2018 |
| NPI Last Update On: | 03 Apr, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Candus Nicole Antolin are as mentioned below.
| License Number | Specialization | State | Status | |
| MD-21233 | Child & Adolescent | Hawaii | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Candus Nicole Antolin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| VAD000 | Other | | MEDICARE UPIN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Candus Nicole Antolin
9923a E. Johnson St, Madigan Annex, Jblm
Tacoma, Washington |
| Zip: | 98498 |
Patients can reach Candus Nicole Antolin at
9923a E. Johnson St, Madigan Annex, Jblm, Tacoma, Washington or can
call to book an appointment on 253-968-6485.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.