Provider Demographics
NPI:1689163719
Name:DARO, ANNETTE
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:
Last Name:DARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:967 KING AVE
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44052-1150
Mailing Address - Country:US
Mailing Address - Phone:440-371-8343
Mailing Address - Fax:
Practice Address - Street 1:4011 CAFERRO AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44055-2647
Practice Address - Country:US
Practice Address - Phone:440-225-1460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider