Healthcare Provider Details

I. General information

NPI: 1255320701
Provider Name (Legal Business Name): DEBORAH KAY DARNELL CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 03/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2663 CLEVELAND AVENUE NW
CANTON OH
44709-3393
US

IV. Provider business mailing address

2663 CLEVELAND AVEUE NW
CANTON OH
44709-3393
US

V. Phone/Fax

Practice location:
  • Phone: 330-456-5329
  • Fax: 330-456-9679
Mailing address:
  • Phone: 330-456-5329
  • Fax: 330-456-9679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberNP06776
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: