Healthcare Provider Details

I. General information

NPI: 1184133225
Provider Name (Legal Business Name): DARREN PARIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2017
Last Update Date: 09/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE. ATTN: MCHJ-CLQ-C
TACOMA WA
98431
US

IV. Provider business mailing address

10446A LONGMIRE RD
JOINT BASE LEWIS MCCHORD WA
98433-1357
US

V. Phone/Fax

Practice location:
  • Phone: 253-968-3869
  • Fax:
Mailing address:
  • Phone: 720-369-4277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN60675192
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: