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Individual

DARLA MARIE KACZMAREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
815 FREEPORT RD, PITTSBURGH, PA 15215-3301
(412) 784-4396
Mailing address
201 SUNRISE DR, WEIRTON, WV 26062-5009
(304) 723-4399

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA08865
OH
367500000X
Certified Registered Nurse Anesthetist
RN511885L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101411611
PA
Enumeration date
02/13/2006
Last updated
07/22/2010
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