Provider Demographics
NPI:1831708684
Name:MAGGIO, DARREN JAMES (BSN, RN)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:JAMES
Last Name:MAGGIO
Suffix:
Gender:M
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 NORWOOD PARK S FL 1
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4681
Mailing Address - Country:US
Mailing Address - Phone:857-307-0664
Mailing Address - Fax:857-307-3998
Practice Address - Street 1:315 NORWOOD PARK S FL 1
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4681
Practice Address - Country:US
Practice Address - Phone:857-307-0664
Practice Address - Fax:857-307-3998
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2306627163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care