MEDICARE: DEBORAH KAY DARNELL CNP

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
1	363LW0102X	Women's Health Nurse Practitioner	NP06776	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255320701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH KAY DARNELL CNP

Provider Business Mailing Address
First Line	:	2663 CLEVELAND AVEUE NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44709-3393
Country	:	US
Telephone Number	:	330-456-5329
Fax Number	:	330-456-9679

Provider Business Practice Location Address
First Line	:	2663 CLEVELAND AVENUE NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44709-3393
Country	:	US
Telephone Number	:	330-456-5329
Fax Number	:	330-456-9679

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	03/16/2017

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