Provider Demographics
NPI:1598996910
Name:PLAVCAN, DARLENE MCDANIEL (CNA)
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:MCDANIEL
Last Name:PLAVCAN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3629 OLD DUCKETT MILL RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-4211
Mailing Address - Country:US
Mailing Address - Phone:678-300-1275
Mailing Address - Fax:
Practice Address - Street 1:3629 OLD DUCKETT MILL RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30506-4211
Practice Address - Country:US
Practice Address - Phone:678-300-1275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide