Provider Demographics
NPI:1952953143
Name:DARLAND, DAWN RENEE (BS)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:RENEE
Last Name:DARLAND
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:RENEE
Other - Last Name:SHUART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:4313 CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-3489
Mailing Address - Country:US
Mailing Address - Phone:989-909-0501
Mailing Address - Fax:
Practice Address - Street 1:1705 S SAGINAW RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-5633
Practice Address - Country:US
Practice Address - Phone:989-835-4041
Practice Address - Fax:989-835-8121
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty