Provider Demographics
NPI:1215594130
Name:DARBY, SALISHA CHANTE (CNA,HHA)
Entity Type:Individual
Prefix:MS
First Name:SALISHA
Middle Name:CHANTE
Last Name:DARBY
Suffix:
Gender:F
Credentials:CNA,HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16510-1763
Mailing Address - Country:US
Mailing Address - Phone:814-920-4110
Mailing Address - Fax:814-217-1394
Practice Address - Street 1:2710 BUFFALO RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16510-1763
Practice Address - Country:US
Practice Address - Phone:814-920-4110
Practice Address - Fax:814-217-1394
Is Sole Proprietor?:No
Enumeration Date:2019-05-27
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA49443601374U00000X
PA10068063376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1038231860001Medicaid