Provider Demographics
NPI:1841806874
Name:DARANG, DERNSTA (DERNSTA DARANG, MPH)
Entity Type:Individual
Prefix:
First Name:DERNSTA
Middle Name:
Last Name:DARANG
Suffix:
Gender:F
Credentials:DERNSTA DARANG, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 BROADWAY # B
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-3100
Mailing Address - Country:US
Mailing Address - Phone:508-567-8600
Mailing Address - Fax:
Practice Address - Street 1:77 BROADWAY # B
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3100
Practice Address - Country:US
Practice Address - Phone:508-567-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-15
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator
No251G00000XAgenciesHospice Care, Community Based
No251K00000XAgenciesPublic Health or Welfare