Provider Demographics
NPI:1730306879
Name:CLIFT, DARLA JEAN (PA)
Entity Type:Individual
Prefix:
First Name:DARLA
Middle Name:JEAN
Last Name:CLIFT
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Gender:F
Credentials:PA
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Mailing Address - Street 1:3241 WESTERN BRANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5260
Mailing Address - Country:US
Mailing Address - Phone:757-686-3508
Mailing Address - Fax:757-686-0541
Practice Address - Street 1:6632 INDIAN RIVER RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-3442
Practice Address - Country:US
Practice Address - Phone:757-424-4300
Practice Address - Fax:757-523-0632
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2010-09-07
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Provider Licenses
StateLicense IDTaxonomies
VA0110002099363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant