Basic Information
Provider Information
NPI: 1679657316
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DARLING
FirstName: MESHIA
MiddleName: R
NamePrefix:  
NameSuffix:  
Credential: N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5113 FALATI LN
Address2:  
City: FAIRFIELD
State: CA
PostalCode: 945338977
CountryCode: US
TelephoneNumber: 7074161436
FaxNumber:  
Practice Location
Address1: 1234 EMPIRE ST
Address2:  
City: FAIRFIELD
State: CA
PostalCode: 945335711
CountryCode: US
TelephoneNumber: 7074263911
FaxNumber: 7074282790
Other Information
ProviderEnumerationDate: 10/25/2006
LastUpdateDate: 05/02/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102XNP14890CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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