Individual
MARY BETH DARLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 E RUSSELL RD, SUITE C, TECUMSEH, MI 49286-2072
(517) 424-3040
(517) 423-0432
Mailing address
200 E RUSSELL RD, SUITE C, TECUMSEH, MI 49286-2072
(517) 424-3040
(517) 423-0432
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28158861A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000750185
ANTHEM
IN
05
—
200917240A
—
IN
05
—
201048950
—
IN
01
—
P01157054
MEDICARE RR
IN
Enumeration date
09/14/2011
Last updated
07/23/2015
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