Individual
ERLA JANE DENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
120 W MAIN ST, CASA GRANDE, AZ 85222-4820
(520) 836-1675
(520) 421-1969
Mailing address
3765 S LA PALMA RD, COOLIDGE, AZ 85228-9164
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP003991
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP003991
LPN LICENSE
AZ
Enumeration date
09/22/2006
Last updated
07/08/2007
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