Provider Demographics
NPI:1720747397
Name:STEPHENS-MCCRYNDLE, DARLA RENEE
Entity Type:Individual
Prefix:MRS
First Name:DARLA
Middle Name:RENEE
Last Name:STEPHENS-MCCRYNDLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1096 FIRE LANE RD
Mailing Address - Street 2:
Mailing Address - City:BUNNLEVEL
Mailing Address - State:NC
Mailing Address - Zip Code:28323-8798
Mailing Address - Country:US
Mailing Address - Phone:877-559-0222
Mailing Address - Fax:877-529-3440
Practice Address - Street 1:1096 FIRE LANE RD
Practice Address - Street 2:
Practice Address - City:BUNNLEVEL
Practice Address - State:NC
Practice Address - Zip Code:28323-8798
Practice Address - Country:US
Practice Address - Phone:877-559-0222
Practice Address - Fax:877-529-3440
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-10
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)