Provider Demographics
NPI:1083195358
Name:PLANT, DARLA (RN, BSN, PHN)
Entity Type:Individual
Prefix:
First Name:DARLA
Middle Name:
Last Name:PLANT
Suffix:
Gender:F
Credentials:RN, BSN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12945 MARENGO RD
Mailing Address - Street 2:
Mailing Address - City:GALT
Mailing Address - State:CA
Mailing Address - Zip Code:95632-8422
Mailing Address - Country:US
Mailing Address - Phone:209-744-5303
Mailing Address - Fax:
Practice Address - Street 1:12945 MARENGO RD
Practice Address - Street 2:
Practice Address - City:GALT
Practice Address - State:CA
Practice Address - Zip Code:95632-8422
Practice Address - Country:US
Practice Address - Phone:209-744-5303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA845103163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool