Provider Demographics
NPI:1346590809
Name:JAMES, DENISE ELIZABETH (RN)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:ELIZABETH
Last Name:JAMES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4815 BURNING TREE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55811-3800
Mailing Address - Country:US
Mailing Address - Phone:218-733-0707
Mailing Address - Fax:218-733-0717
Practice Address - Street 1:4815 BURNING TREE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55811-3800
Practice Address - Country:US
Practice Address - Phone:218-733-0707
Practice Address - Fax:218-733-0717
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR180069-4163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse