Individual
ICOLIN Y DARBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9032 NW 55TH ST, SUNRISE, FL 33351-7771
(754) 245-7670
Mailing address
9032 NW 55TH ST, SUNRISE, FL 33351-7771
(754) 245-7670
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11021308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11021308
—
FL
Enumeration date
08/16/2022
Last updated
08/16/2022
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