Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 5013031 | NC |
NPI | 1093344277 |
---|---|
Provider Name | Miss Brittany Boone Darby |
First Address | Wilson, NC 27893-8343 |
Second Address | Goldsboro, NC 27530-2973 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2020 |
Last Update Date | 04/11/2021 |