Provider Demographics
NPI:1407285547
Name:SAWYER, DARLEEN MARIE (RN)
Entity Type:Individual
Prefix:MS
First Name:DARLEEN
Middle Name:MARIE
Last Name:SAWYER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:DARLEEN
Other - Middle Name:MARIE
Other - Last Name:HARVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2603 WOLF AVE
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-3139
Mailing Address - Country:US
Mailing Address - Phone:609-220-7437
Mailing Address - Fax:
Practice Address - Street 1:680 BLAIR MILL RD
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2223
Practice Address - Country:US
Practice Address - Phone:609-220-7437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO12288300163W00000X
PARN551950163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management