Provider Demographics
NPI:1083154421
Name:DOWNER, DARIEAN (REGISTERED NURSE)
Entity Type:Individual
Prefix:MS
First Name:DARIEAN
Middle Name:
Last Name:DOWNER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MS
Other - First Name:DARIEAN
Other - Middle Name:
Other - Last Name:DOWNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:36 SALINA ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14611-2910
Mailing Address - Country:US
Mailing Address - Phone:585-455-5143
Mailing Address - Fax:
Practice Address - Street 1:36 SALINA ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14611-2910
Practice Address - Country:US
Practice Address - Phone:585-455-5143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-05
Last Update Date:2017-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY594059163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse