Candace Lillian Direzza in Wheat Ridge - Medical
Candace Lillian Direzza - NPI 1942251228
Candace Lillian Direzza is a Medical in Wheat Ridge, Colorado. Candace Lillian Direzza practices all healthcare services and medical treatments related to Medical. The NPI Number for Candace Lillian Direzza is 1942251228. The last update date is 2013-06-12.
Candace Lillian Direzza's current location address is 3555 Lutheran Pkwy Ste 200, Wheat Ridge, Colorado. You can contact this provider via phone number 7202843700. The mailing address for Candace Lillian Direzza is 3555 Lutheran Pkwy Ste 200, Wheat Ridge, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candace Lillian Direzza |
|---|---|
| Address | 3555 Lutheran Pkwy Ste 200, Wheat Ridge, Colorado |
| Phone Number | 7202843700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1942251228 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2013-06-12 |
Provider Mailing Address Detail
| Address | 3555 Lutheran Pkwy Ste 200 |
|---|---|
| City | Wheat Ridge |
| State | Colorado (CO) |
| Post Code | 8003360270 |
| Phone Number | 7202843700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | CO 1444 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45274819 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Candace Lillian Direzza by the Centers for Medicare & Medicaid Services?
The Candace Lillian Direzza has been issued the NPI (National Provider Identifier) 1942251228 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Candace Lillian Direzza?
The Candace Lillian Direzza is physically situated at 3555 Lutheran Pkwy Ste 200, in the city of Wheat Ridge, state of CO, with the postal code 8003360270.
What is the area of specialization for Candace Lillian Direzza, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Candace Lillian Direzza is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
When did Candace Lillian Direzza receive its 1942251228 assignment?
The Candace Lillian Direzza was assigned its 1942251228 on 2006-05-12, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Candace Lillian Direzza most recently updated or revised?
The details related to Candace Lillian Direzza, including its address, specialty, and other relevant information, were last updated or revised on 2013-06-12.