Provider Demographics
NPI:1518553379
Name:TREBIL, DARCI MARIE (RN)
Entity Type:Individual
Prefix:
First Name:DARCI
Middle Name:MARIE
Last Name:TREBIL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15257 S 19TH WAY
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-4171
Mailing Address - Country:US
Mailing Address - Phone:218-929-3249
Mailing Address - Fax:
Practice Address - Street 1:15257 S 19TH WAY
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-4171
Practice Address - Country:US
Practice Address - Phone:218-929-3249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN092083163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool