Provider Demographics
NPI:1295457000
Name:HANLEY, DARLENE RENEE (RN)
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:RENEE
Last Name:HANLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 COMO AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-1507
Mailing Address - Country:US
Mailing Address - Phone:716-903-6524
Mailing Address - Fax:
Practice Address - Street 1:67 COMO AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-1507
Practice Address - Country:US
Practice Address - Phone:716-903-6524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY700565163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health