Provider Demographics
NPI:1164117024
Name:DARKO, FLORENCE A (NURSING)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:A
Last Name:DARKO
Suffix:
Gender:F
Credentials:NURSING
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:A
Other - Last Name:DARKO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FLORENCE A DARKO
Mailing Address - Street 1:633 E RAY RD STE 130
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-4206
Mailing Address - Country:US
Mailing Address - Phone:480-812-3680
Mailing Address - Fax:
Practice Address - Street 1:633 E RAY RD STE 130
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-4206
Practice Address - Country:US
Practice Address - Phone:480-812-3680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP054515164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse