Provider Demographics
NPI:1265862908
Name:DARNELL, MARSHA (HHA)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:DARNELL
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4363
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43058-4363
Mailing Address - Country:US
Mailing Address - Phone:740-258-1055
Mailing Address - Fax:
Practice Address - Street 1:287 N 10TH ST
Practice Address - Street 2:APT.C
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-6488
Practice Address - Country:US
Practice Address - Phone:740-258-1055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker