Provider Demographics
NPI:1235329137
Name:DARBY, LAURA GRACE (RN,C-FNP)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:GRACE
Last Name:DARBY
Suffix:
Gender:F
Credentials:RN,C-FNP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:G
Other - Last Name:DARBY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, C-FNP
Mailing Address - Street 1:1448 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-3581
Mailing Address - Country:US
Mailing Address - Phone:304-529-0753
Mailing Address - Fax:304-529-0591
Practice Address - Street 1:1448 10TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3581
Practice Address - Country:US
Practice Address - Phone:304-259-0753
Practice Address - Fax:304-529-0591
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV29283363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily