Erla Jane Denham in Casa Grande - Licensed Practical Nurse
Erla Jane Denham - NPI 1164522900
Erla Jane Denham is a Licensed Practical Nurse in Casa Grande, Arizona. Erla Jane Denham practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Erla Jane Denham is 1164522900. The last update date is 2007-07-08.
Erla Jane Denham's current location address is 120 W Main St, Casa Grande, Arizona. You can contact this provider via phone number 5208361675 and fax number 5204211969. The mailing address for Erla Jane Denham is 120 W Main St, Casa Grande, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erla Jane Denham |
|---|---|
| Address | 120 W Main St, Casa Grande, Arizona |
| Phone Number | 5208361675 |
| Fax Number | 5204211969 |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1164522900 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 120 W Main St |
|---|---|
| City | Casa Grande |
| State | Arizona (AZ) |
| Post Code | 852224820 |
| Phone Number | 5208361675 |
| Fax Number | 5204211969 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | LP003991 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LP003991 | AZ | LPN LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Erla Jane Denham by the Centers for Medicare & Medicaid Services (CMS)?
The Erla Jane Denham has been assigned the NPI (National Provider Identifier) 1164522900. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Erla Jane Denham?
The Erla Jane Denham is situated at 120 W Main St, in the city of Casa Grande, state of AZ, with the zip code 852224820.
What is Erla Jane Denham's specialized field of practice, and what is the corresponding taxonomy classification code?
The Erla Jane Denham's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
On what date did the Erla Jane Denham receive its 1164522900 assignment from the Centers for Medicare & Medicaid Services?
The Erla Jane Denham was assigned its 1164522900 by the Centers for Medicare & Medicaid Services on 2006-09-22.
When was the information regarding Erla Jane Denham most recently updated?
The details pertaining to the Erla Jane Denham, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.