Direzza, Candace Lillian
Direzza, Candace Lillian is an individual health care provider with primary practice located at 3555 Lutheran Pkwy Ste 200 , Wheat Ridge CO 80033-6027. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Direzza, Candace Lillian can be contacted via phone (720) 284-3700.Contact Information
Primary practice address
3555 Lutheran Pkwy Ste 200
Wheat Ridge CO 80033-6027
Phone: (720) 284-3700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | CO 1444 | Colorado |
Profile Details
| NPI number | 1942251228 |
|---|---|
| LBN Legal business name | Direzza, Candace Lillian |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jun 12th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942251228 | NPPES |
| Colorado | MEDICAID | 45274819 |
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