Provider Demographics
NPI:1518291624
Name:TSOPANIDES, DARLENE PATRICIA (LPN)
Entity Type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:PATRICIA
Last Name:TSOPANIDES
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 MARION AVE
Mailing Address - Street 2:APT 7
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-6560
Mailing Address - Country:US
Mailing Address - Phone:860-201-4250
Mailing Address - Fax:
Practice Address - Street 1:77 MARION AVE
Practice Address - Street 2:APT 7
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-6560
Practice Address - Country:US
Practice Address - Phone:860-201-4250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280160-1164W00000X
CT031997164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse