Provider Demographics
NPI:1154514941
Name:SPEIGNER, DARLA (NP)
Entity type:Individual
Prefix:
First Name:DARLA
Middle Name:
Last Name:SPEIGNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3444
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47733-3444
Mailing Address - Country:US
Mailing Address - Phone:812-471-1591
Mailing Address - Fax:812-471-6650
Practice Address - Street 1:100 ST MARYS EPWORTH XING STE B100
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-9161
Practice Address - Country:US
Practice Address - Phone:812-853-9651
Practice Address - Fax:812-853-9899
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA138787363L00000X
IN71005303A363L00000X, 363LF0000X
GARN117216363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAP01427661OtherRR MEDICARE
IA1154514941Medicaid
GA000884309BMedicaid
GAP00450990Medicare PIN
IA1154514941Medicaid
IA719260734Medicare PIN