Provider Demographics
NPI:1750154795
Name:DARIA, ANNABEL BONAVENTE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:ANNABEL
Middle Name:BONAVENTE
Last Name:DARIA
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:ANNABEL
Other - Middle Name:BONAVENTE
Other - Last Name:DARIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:21006 42ND AVE APT 3B
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-2706
Mailing Address - Country:US
Mailing Address - Phone:631-255-4199
Mailing Address - Fax:
Practice Address - Street 1:ST MARYS HOSPITAL FOR CHILDREN
Practice Address - Street 2:2901 216TH ST.,
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360
Practice Address - Country:US
Practice Address - Phone:718-281-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY598283-01163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics