Provider Demographics
NPI:1396802427
Name:FLAIG, DARLENE MARIE (ANP-C)
Entity type:Individual
Prefix:MR
First Name:DARLENE
Middle Name:MARIE
Last Name:FLAIG
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11202 BLANCHARD RD
Mailing Address - Street 2:POB 2
Mailing Address - City:HOLLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14080-9676
Mailing Address - Country:US
Mailing Address - Phone:716-491-5463
Mailing Address - Fax:
Practice Address - Street 1:11202 BLANCHARD RD
Practice Address - Street 2:POB 2
Practice Address - City:HOLLAND
Practice Address - State:NY
Practice Address - Zip Code:14080-9676
Practice Address - Country:US
Practice Address - Phone:716-491-5463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF-302843-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health