Provider Demographics
NPI:1891932968
Name:SEXTON, DARLENE MARIE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:MARIE
Last Name:SEXTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:MARIE
Other - Last Name:SEXTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:131 58TH ST
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-3809
Mailing Address - Country:US
Mailing Address - Phone:716-283-4962
Mailing Address - Fax:
Practice Address - Street 1:131 58TH ST
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-3809
Practice Address - Country:US
Practice Address - Phone:716-283-4962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204626-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse