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NPI Code Detail

MEDICARE: DARIAN PERKINS

MEDICARE: DARIAN PERKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner17778-33WI

General Provider Information

NPI Number : 1235092065
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARIAN PERKINS
Provider Business Mailing Address
First Line : 7522 W NASH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-1923
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7522 W NASH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-1923
Country : US
Telephone Number : 414-467-8368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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