Provider Demographics
NPI:1164245577
Name:SARTE-DENBY, DANNA GRACE MAGDAY (CST)
Entity type:Individual
Prefix:
First Name:DANNA GRACE
Middle Name:MAGDAY
Last Name:SARTE-DENBY
Suffix:
Gender:F
Credentials:CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3134 HARMONY HALL WAY APT 108
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5197
Mailing Address - Country:US
Mailing Address - Phone:760-672-6868
Mailing Address - Fax:
Practice Address - Street 1:150 ROBESON ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5570
Practice Address - Country:US
Practice Address - Phone:910-615-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA203737246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist