DARRELL DEMARTINO FNP-BC RN EMT-P NPI 1669862348

NPI Information

NPI: 1669862348
Provider Name: DARRELL DEMARTINO, FNP-BC, RN, EMT-P
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
12303 DEPAUL DRIVE
BRIDGETON, MO
ZIP 63044
Phone: (517) 242-1705
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Darrell Demartino, FNP-BC, RN, EMT-P is an acute care nurse practitioner in Bridgeton, MO. Darrell Demartino, FNP-BC, RN, EMT-P NPI is 1669862348. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12303 DEPAUL DRIVE
BRIDGETON, MO
ZIP 63044
Phone: (517) 242-1705

The enumeration date for this NPI number is 2/2/2015 and was last updated on 2/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146L00000X	Emergency Medical Technician, Paramedic		P-20168	MISSOURI	No
2	146L00000X	Emergency Medical Technician, Paramedic		3201009993	MICHIGAN	No
3	163W00000X	Registered Nurse		4704274228	MICHIGAN	No
4	163WE0003X	Registered Nurse	Emergency	2016044503	MISSOURI	No
5	363LF0000X	Nurse Practitioner	Family	2017002498	MISSOURI	No
6	363LF0000X	Nurse Practitioner	Family	4704274228	MICHIGAN	No
7	363LA2100X	Nurse Practitioner	Acute Care	2017002497	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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