Provider Demographics
NPI:1972546588
Name:WARD, DARIN J (CRNA)
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:J
Last Name:WARD
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 N RIGNEY
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:MO
Mailing Address - Zip Code:64402
Mailing Address - Country:US
Mailing Address - Phone:660-726-5775
Mailing Address - Fax:
Practice Address - Street 1:100 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:MO
Practice Address - Zip Code:64601-1554
Practice Address - Country:US
Practice Address - Phone:660-707-4442
Practice Address - Fax:660-707-4391
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO153501367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered