DARBY RAE DISSELKOEN DNP APRN CPNP-PC NPI 1316618382

NPI Information

NPI: 1316618382
Provider Name: DARBY RAE DISSELKOEN, DNP, APRN, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
8333 FELCH ST STE 200
ZEELAND, MI
ZIP 49464
Phone: (616) 748-2850
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Darby Rae Disselkoen, DNP, APRN, CPNP-PC is a pediatrics nurse practitioner in Zeeland, MI. Darby Rae Disselkoen, DNP, APRN, CPNP-PC NPI is 1316618382. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8333 FELCH ST STE 200
ZEELAND, MI
ZIP 49464-609
Phone: (616) 748-2850

The NPI 1316618382 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2021 and was last updated on 12/13/2021.

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	363LP0200X	Nurse Practitioner	Pediatrics	4704320802	MICHIGAN	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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