Provider Demographics
NPI:1891909800
Name:WINTERLAND, DARCEY MARIANNA (MD)
Entity Type:Individual
Prefix:
First Name:DARCEY
Middle Name:MARIANNA
Last Name:WINTERLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DARCEY
Other - Middle Name:MARIANA
Other - Last Name:WINTERLAND MARTIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6301 S MCCLINTOCK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-3393
Mailing Address - Country:US
Mailing Address - Phone:480-831-6800
Mailing Address - Fax:
Practice Address - Street 1:6301 S MCCLINTOCK DR STE 101
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3393
Practice Address - Country:US
Practice Address - Phone:480-831-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ36800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics