Robert Darden
Individual provider Active NPI Licensed Practical Nurse · Jessup, MD
NPI 1487053690 · NPPES record last updated Aug 14, 2014
Key facts
- NPI
- 1487053690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LP34815 (MD)
- Practice address
- 8049 Jenmar Rd
Jessup, MD 20794-9463 - Phone
- (240) 547-7829
- NPI assigned
- Aug 14, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| LP34815 | MD | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP34815 | MD | Yes |
Addresses
Primary practice location
8049 Jenmar Rd
Jessup, MD 20794-9463
Mailing address
8049 Jenmar Rd
Jessup, MD 20794-9463
Phone (240) 547-7829
Other providers in Jessup, MD
- Pedro J Coto
- George Marshall Cowan III
- Daphenie J Cox
- Thomas John Curley II
- Ellen Louise Curro
- De-Light Behavioral Health
- Kathjia Demaisip
- Mesgana Demissie
- Ashley Devine
- Doasis Care LLC
All providers in Jessup, MD · Licensed Practical Nurse in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2014. 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.