Individual
GERALDINE ELIZABETH DARKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1028 E WATERFORD ST STE A, WAKARUSA, IN 46573-9305
(574) 862-2504
(574) 862-2505
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28144225A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005762A
IN
Other
Enumeration date
09/01/2015
Last updated
03/15/2017
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