Provider Demographics
NPI:1447400031
Name:BARGER, DARCI NICOLE (PA-C)
Entity Type:Individual
Prefix:
First Name:DARCI
Middle Name:NICOLE
Last Name:BARGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 KINETIC PARK DR.
Mailing Address - Street 2:SUITE B HUNTINGTON DERMATOLOGY INC
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701
Mailing Address - Country:US
Mailing Address - Phone:304-523-5100
Mailing Address - Fax:304-523-1750
Practice Address - Street 1:422 KINETIC PARK DR.
Practice Address - Street 2:SUITE B HUNTINGTON DERMATOLOGY INC.
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701
Practice Address - Country:US
Practice Address - Phone:304-523-5100
Practice Address - Fax:304-523-1750
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV01355363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical