Provider Demographics
NPI:1881346831
Name:DARAIO, KAITLYN ELISE
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:ELISE
Last Name:DARAIO
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 1:1560 CROWNE ORMOND LN APT 1133
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-0663
Mailing Address - Country:US
Mailing Address - Phone:386-264-8548
Mailing Address - Fax:
Practice Address - Street 1:1560 CROWNE ORMOND LN APT 1133
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-0663
Practice Address - Country:US
Practice Address - Phone:386-264-8548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9529463163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse