Individual
MRS. CANDACE DENISE IRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
249 BILLINGSLEY RD, CHARLOTTE, NC 28211-1003
(704) 336-4664
(704) 331-0859
Mailing address
1519 WILBURN PARK LN, CHARLOTTE, NC 28269-6990
(704) 766-0075
(704) 766-1296
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
152172
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15145
PROVIDER NUMBER
NC
Enumeration date
10/03/2006
Last updated
07/08/2007
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