Healthcare Provider Details

I. General information

NPI: 1154514941
Provider Name (Legal Business Name): DARLA SPEIGNER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 ST MARYS EPWORTH XING STE B100
NEWBURGH IN
47630-9161
US

IV. Provider business mailing address

PO BOX 3444
EVANSVILLE IN
47733-3444
US

V. Phone/Fax

Practice location:
  • Phone: 812-853-9651
  • Fax: 812-853-9899
Mailing address:
  • Phone: 812-471-1591
  • Fax: 812-471-6650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA138787
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71005303A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN117216
License Number StateGA
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71005303A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: