Provider Demographics
NPI:1326377615
Name:GARD, DARCIE MARIE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:DARCIE
Middle Name:MARIE
Last Name:GARD
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 1:77 FIELDPOINT RD
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:OH
Mailing Address - Zip Code:43056-1320
Mailing Address - Country:US
Mailing Address - Phone:740-644-0974
Mailing Address - Fax:
Practice Address - Street 1:77 FIELDPOINT RD
Practice Address - Street 2:
Practice Address - City:HEATH
Practice Address - State:OH
Practice Address - Zip Code:43056-1320
Practice Address - Country:US
Practice Address - Phone:740-644-0974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.115118 - IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse