Provider Demographics
NPI:1063654184
Name:DENBY, CANDICE AUSTIN (PA)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:AUSTIN
Last Name:DENBY
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:45 CASTRO ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1010
Mailing Address - Country:US
Mailing Address - Phone:510-428-3885
Mailing Address - Fax:510-428-3405
Practice Address - Street 1:45 CASTRO ST
Practice Address - Street 2:SUITE 410
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1010
Practice Address - Country:US
Practice Address - Phone:415-565-6884
Practice Address - Fax:415-600-6886
Is Sole Proprietor?:No
Enumeration Date:2009-04-03
Last Update Date:2012-06-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA19889363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical