Provider Demographics
NPI:1558503193
Name:CRITTON, DAROLYN O (LPN)
Entity Type:Individual
Prefix:MS
First Name:DAROLYN
Middle Name:O
Last Name:CRITTON
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 1:2687 HEATH AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-7546
Mailing Address - Country:US
Mailing Address - Phone:917-613-4782
Mailing Address - Fax:
Practice Address - Street 1:2687 HEATH AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-7546
Practice Address - Country:US
Practice Address - Phone:917-613-4782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY290687164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse