Provider Demographics
NPI:1386738318
Name:IRBY, CANDACE DENISE (RN)
Entity type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:DENISE
Last Name:IRBY
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:1519 WILBURN PARK LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-6990
Mailing Address - Country:US
Mailing Address - Phone:704-766-0075
Mailing Address - Fax:704-766-1296
Practice Address - Street 1:249 BILLINGSLEY RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-1003
Practice Address - Country:US
Practice Address - Phone:704-336-4664
Practice Address - Fax:704-331-0859
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC152172163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC15145OtherPROVIDER NUMBER