Provider Demographics
NPI:1184513988
Name:DARNELL, STACY (LPN)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:
Last Name:DARNELL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18233 E ARIZONA AVE UNIT C
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-4363
Mailing Address - Country:US
Mailing Address - Phone:720-338-1911
Mailing Address - Fax:
Practice Address - Street 1:18233 E ARIZONA AVE UNIT C
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-4363
Practice Address - Country:US
Practice Address - Phone:720-338-1911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0047248164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse