Provider Demographics
NPI:1780822981
Name:DARDIS, NIAMH EILEEN
Entity Type:Individual
Prefix:
First Name:NIAMH
Middle Name:EILEEN
Last Name:DARDIS
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 1:213 3RD ST
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-1220
Mailing Address - Country:US
Mailing Address - Phone:907-796-7237
Mailing Address - Fax:888-522-6841
Practice Address - Street 1:213 3RD ST
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-1220
Practice Address - Country:US
Practice Address - Phone:907-796-7237
Practice Address - Fax:888-522-6841
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator