Candus 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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.