Individual
DARCI L. DELLWARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1501 HARRISBURG PIKE STE 5, CARLISLE, PA 17015
(717) 906-1555
(717) 906-1557
Mailing address
1501 HARRISBURG PIKE STE 5, CARLISLE, PA 17015-7306
(717) 906-1555
(717) 906-1557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051841
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1958621
HIGHMARK BLUE SHIELD
—
01
—
50056923
CAPITAL BLUE CROSS
—
01
—
P00310849
RAILROAD MEDICARE
—
Enumeration date
08/18/2005
Last updated
08/22/2018
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