Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 930065 | NC |
NPI | 1083684435 |
---|---|
Provider Name | Ms. Denise Taylor Darden |
First Address | Wilmington, NC 28411-8307 |
Second Address | Saint Louis, MO 63141-6345 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 08/07/2007 |