Erla Jane Denham, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP003991 Issued in AZ

Practice address

120 W Main St
Casa Grande, AZ 85222-4820

Phone

(520) 836-1675

Fax

(520) 421-1969

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164522900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 S LA PALMA RD",
            "city": "COOLIDGE",
            "state": "AZ",
            "postal_code": "852289164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852224820",
            "telephone_number": "520-836-1675",
            "fax_number": "520-421-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENHAM",
        "first_name": "ERLA",
        "middle_name": "JANE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP003991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE",
            "identifier": "LP003991",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerrie Lynn Decastro, CNM
• Catherine Decker, REGISTERED DIETITIAN
• Rosenberg Delgado, RDH AP
• Dembro Outpatient Services
• Dembro Recovery Services
• Cathleen Denny, FNP, MSN
• Kunal Deora, M.D
• Diana Depadre, RN
• Chelsea Dereu, RPH
• Nataraj Desai, MD

• Licensed Practical Nurse in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.