Provider Demographics
NPI:1487437745
Name:BROWN, DARBY CLAIR
Entity type:Individual
Prefix:
First Name:DARBY
Middle Name:CLAIR
Last Name:BROWN
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 1:174 PINE DR
Mailing Address - Street 2:
Mailing Address - City:POCA
Mailing Address - State:WV
Mailing Address - Zip Code:25159-9653
Mailing Address - Country:US
Mailing Address - Phone:304-410-8969
Mailing Address - Fax:
Practice Address - Street 1:174 PINE DR
Practice Address - Street 2:
Practice Address - City:POCA
Practice Address - State:WV
Practice Address - Zip Code:25159-9653
Practice Address - Country:US
Practice Address - Phone:304-410-8969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant