Mary Darbonne
Individual provider Active NPI Registered Nurse · Homer, AK
NPI 1285289652 · NPPES record last updated Aug 2, 2019
Key facts
- NPI
- 1285289652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 148921 (AK)
- Practice address
- 195 E Bunnell Ave Ste C
Homer, AK 99603-7844 - Phone
- (907) 235-8857
- NPI assigned
- Aug 2, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148921 | AK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Alaska Department of Administration | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 148921 | AK | Yes |
Addresses
Primary practice location
195 E Bunnell Ave Ste C
Homer, AK 99603-7844
Mailing address
195 E Bunnell Ave Ste C
Homer, AK 99603-7844
Other providers in Homer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.