Provider Demographics
NPI:1578036000
Name:PRIYADARSHI, CHARITY DARLENE (FNP)
Entity Type:Individual
Prefix:
First Name:CHARITY
Middle Name:DARLENE
Last Name:PRIYADARSHI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CHARITY
Other - Middle Name:DARLENE
Other - Last Name:LEHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:143 DEERFIELD MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-1405
Mailing Address - Country:US
Mailing Address - Phone:757-803-2465
Mailing Address - Fax:
Practice Address - Street 1:143 DEERFIELD MEADOW DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-1405
Practice Address - Country:US
Practice Address - Phone:757-803-2465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139510363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily