Provider Demographics
NPI:1942658646
Name:MIHALKO, DARLENE MICHELLE
Entity Type:Individual
Prefix:MISS
First Name:DARLENE
Middle Name:MICHELLE
Last Name:MIHALKO
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 1:703 TRUMBULL AVE. LOT 22
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420
Mailing Address - Country:US
Mailing Address - Phone:330-545-1419
Mailing Address - Fax:
Practice Address - Street 1:703 TRUMBULL AVE. LOT 22
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420-0000
Practice Address - Country:US
Practice Address - Phone:330-545-1419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide