Provider Demographics
NPI:1285878009
Name:COX, DENISE MICHELLE (LVN)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:MICHELLE
Last Name:COX
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19191 ELKHORN RD
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92570-6557
Mailing Address - Country:US
Mailing Address - Phone:951-264-5833
Mailing Address - Fax:951-398-7229
Practice Address - Street 1:19191 ELKHORN RD
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92570-6557
Practice Address - Country:US
Practice Address - Phone:951-264-5988
Practice Address - Fax:951-398-7229
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA226239164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse