Provider Demographics
NPI:1669879342
Name:BARMAN, DARCI (MSN, RDN, LD)
Entity type:Individual
Prefix:
First Name:DARCI
Middle Name:
Last Name:BARMAN
Suffix:
Gender:F
Credentials:MSN, RDN, LD
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 2203
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83816-2203
Mailing Address - Country:US
Mailing Address - Phone:608-438-8746
Mailing Address - Fax:
Practice Address - Street 1:101 N EVERGREEN RD
Practice Address - Street 2:SUITE A
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-0819
Practice Address - Country:US
Practice Address - Phone:509-228-3516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-25
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD-843133V00000X
WADI 60542782133V00000X
MTMED-NUTR-LIC 39893133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered