Provider Demographics
NPI:1588796510
Name:SAXE, DARLENE MARIE (RN)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:MARIE
Last Name:SAXE
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 1:521 N BROADVIEW CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-6931
Mailing Address - Country:US
Mailing Address - Phone:573-474-0809
Mailing Address - Fax:
Practice Address - Street 1:521 N BROADVIEW CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-6931
Practice Address - Country:US
Practice Address - Phone:573-474-0809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO131476163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical