Provider Demographics
NPI:1548554348
Name:DARSIE, MARIN ELYSE (MD)
Entity type:Individual
Prefix:
First Name:MARIN
Middle Name:ELYSE
Last Name:DARSIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIN
Other - Middle Name:ELYSE
Other - Last Name:HINZPETER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:170 MANNING DR
Mailing Address - Street 2:DEPARTMENT OF EMERGENCY MED.,POB,1ST FL.,CB# 7594
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4221
Mailing Address - Country:US
Mailing Address - Phone:919-966-6442
Mailing Address - Fax:919-966-3049
Practice Address - Street 1:170 MANNING DR
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MED.,POB,1ST FL.,CB# 7594
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4221
Practice Address - Country:US
Practice Address - Phone:919-966-6442
Practice Address - Fax:919-966-3049
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC172810390200000X
NC2014-00663207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program