Provider Demographics
NPI:1689306367
Name:DARSIE, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:DARSIE
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 1:333 W CORK ST UNIT 135
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3816
Mailing Address - Country:US
Mailing Address - Phone:540-563-5200
Mailing Address - Fax:
Practice Address - Street 1:333 W CORK ST UNIT 135
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3816
Practice Address - Country:US
Practice Address - Phone:540-563-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1401109636374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide