Healthcare Provider Details

I. General information

NPI: 1235991571
Provider Name (Legal Business Name): HOPE MARIE DARROW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2024
Last Update Date: 01/23/2024
Certification Date: 01/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 MEADOWLANDS DR
SAINT PAUL MN
55127-2339
US

IV. Provider business mailing address

101 MEADOWLANDS DR
SAINT PAUL MN
55127
US

V. Phone/Fax

Practice location:
  • Phone: 715-802-1431
  • Fax: 920-867-3366
Mailing address:
  • Phone: 612-315-1976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: