Provider Demographics
NPI:1326469974
Name:MAYLE, DARLA MARIE
Entity Type:Individual
Prefix:
First Name:DARLA
Middle Name:MARIE
Last Name:MAYLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 LEMON RD NW
Mailing Address - Street 2:
Mailing Address - City:MINERVA
Mailing Address - State:OH
Mailing Address - Zip Code:44657-9707
Mailing Address - Country:US
Mailing Address - Phone:330-324-3770
Mailing Address - Fax:
Practice Address - Street 1:2030 LEMON RD NW
Practice Address - Street 2:
Practice Address - City:MINERVA
Practice Address - State:OH
Practice Address - Zip Code:44657-9707
Practice Address - Country:US
Practice Address - Phone:330-324-3770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker