Provider Demographics
NPI:1760959746
Name:IKELER, DARCIE LYNN (RN)
Entity Type:Individual
Prefix:
First Name:DARCIE
Middle Name:LYNN
Last Name:IKELER
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 1:4190 OAK HILL RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:14550-9796
Mailing Address - Country:US
Mailing Address - Phone:585-729-6551
Mailing Address - Fax:
Practice Address - Street 1:4190 OAK HILL RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:14550-9796
Practice Address - Country:US
Practice Address - Phone:585-729-6551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY426358-1163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care