MEDICARE: CHRYSANTHOS DARIOS APRN

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	364SF0001X	Family Health Clinical Nurse Specialist

General Provider Information

NPI Number	:	1952185134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRYSANTHOS DARIOS APRN

Provider Business Mailing Address
First Line	:	6118 CANOPY OAKS CT
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-3970
Country	:	US
Telephone Number	:	727-967-7851
Fax Number	:	815-614-3369

Provider Business Practice Location Address
First Line	:	6121 INDIANA AVE
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-3215
Country	:	US
Telephone Number	:	727-967-7851
Fax Number	:	815-614-3369

Authorized Official
Title or Position	:	OWNER
Name	:	CHRYSANTHOS DARIOS
Credential	:	APRN
Telephone Number	:	727-967-7851

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	08/21/2023

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