Provider Demographics
NPI:1225252059
Name:DARNELL, CURLEY MAE (RN)
Entity Type:Individual
Prefix:MS
First Name:CURLEY
Middle Name:MAE
Last Name:DARNELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:CURLEY
Other - Middle Name:MAE
Other - Last Name:DARNELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:1546 N. BROADVIEW
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-2120
Mailing Address - Country:US
Mailing Address - Phone:316-684-3230
Mailing Address - Fax:316-684-1492
Practice Address - Street 1:2201 E 13TH ST N
Practice Address - Street 2:SUITE B
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-1929
Practice Address - Country:US
Practice Address - Phone:316-425-1912
Practice Address - Fax:316-684-1492
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-61302-042163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS00101297388Medicaid