Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D0054072 | MD |
Y | 111NI0900X | Internist | D0054072 | MD |
NPI | 1003004839 |
---|---|
Provider Name | Beverly Hagner Darnell |
First Address | Rockville, MD 20852-4908 |
Second Address | Kensington, MD 20895-2138 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2007 |
Last Update Date | 05/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H52532 | (02) | CA |