Provider Demographics
NPI:1770282584
Name:CARNAIL, DARNETTA
Entity type:Individual
Prefix:
First Name:DARNETTA
Middle Name:
Last Name:CARNAIL
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 1:13701 CHAPELSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-4615
Mailing Address - Country:US
Mailing Address - Phone:216-762-4057
Mailing Address - Fax:
Practice Address - Street 1:13701 CHAPELSIDE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-4615
Practice Address - Country:US
Practice Address - Phone:216-762-4057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide