Healthcare Provider Details

I. General information

NPI: 1275642266
Provider Name (Legal Business Name): JANICE LYNNE DARLING CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 BURKARTH RD
WARRENSBURG MO
64093-3101
US

IV. Provider business mailing address

608 DARROW ST
WARRENSBURG MO
64093-2926
US

V. Phone/Fax

Practice location:
  • Phone: 660-747-2500
  • Fax: 660-747-8455
Mailing address:
  • Phone: 660-747-2500
  • Fax: 660-747-8455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number075492
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: