MEDICARE: DARLA G KAIPAINEN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	RN177191	MA

General Provider Information

NPI Number	:	1548910326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLA G KAIPAINEN RN

Provider Business Mailing Address
First Line	:	4 WOODSIDE AVE
Second Line	:
City	:	BUZZARDS BAY
State	:	MA
Zip	:	02532-4727
Country	:	US
Telephone Number	:	508-273-5523
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 WOODSIDE AVE
Second Line	:
City	:	BUZZARDS BAY
State	:	MA
Zip	:	02532-4727
Country	:	US
Telephone Number	:	508-273-5523
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2022
Last Update Date	:	03/25/2022

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