Provider Demographics
NPI:1376522441
Name:MASTERS, DARLA FAY (PA-C, MPH)
Entity type:Individual
Prefix:
First Name:DARLA
Middle Name:FAY
Last Name:MASTERS
Suffix:
Gender:F
Credentials:PA-C, MPH
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Other - First Name:
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Mailing Address - Street 1:11358 CHESTER GARDEN CIR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1795
Mailing Address - Country:US
Mailing Address - Phone:804-425-9422
Mailing Address - Fax:
Practice Address - Street 1:1-2539 HAMILTON STREET
Practice Address - Street 2:
Practice Address - City:FORT LIBERTY
Practice Address - State:NC
Practice Address - Zip Code:28310-1716
Practice Address - Country:US
Practice Address - Phone:109-643-1964
Practice Address - Fax:910-432-5812
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2024-06-24
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Provider Licenses
StateLicense IDTaxonomies
TX066812083P0901X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine