Provider Demographics
NPI:1881695393
Name:BIANCHINO-NIGRO, DARLENE J (DO)
Entity type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:J
Last Name:BIANCHINO-NIGRO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:DARLENE
Other - Middle Name:B
Other - Last Name:NIGRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1613 OAKWOOD STREET
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523
Mailing Address - Country:US
Mailing Address - Phone:540-586-7273
Mailing Address - Fax:434-200-1652
Practice Address - Street 1:1613 OAKWOOD STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523
Practice Address - Country:US
Practice Address - Phone:540-586-7273
Practice Address - Fax:434-200-1652
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102049957207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA110005723Medicare ID - Type Unspecified
VAF51740Medicare UPIN