Healthcare Provider Details

I. General information

NPI: 1184651150
Provider Name (Legal Business Name): DARCY A. KABERNA MS RN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 N ELM ST S
FARGO ND
58102
US

IV. Provider business mailing address

4310 52ND ST S
FARGO ND
58104-4237
US

V. Phone/Fax

Practice location:
  • Phone: 800-410-9723
  • Fax:
Mailing address:
  • Phone: 701-866-6204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR26488
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: