1881695393 NPI number — DR. DARLENE J. BIANCHINO-NIGRO D.O.

Table of content: DR. DARLENE J. BIANCHINO-NIGRO D.O. (NPI 1881695393)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881695393 NPI number — DR. DARLENE J. BIANCHINO-NIGRO D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIANCHINO-NIGRO
Provider First Name:
DARLENE
Provider Middle Name:
J.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NIGRO
Provider Other First Name:
DARLENE
Provider Other Middle Name:
B
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.O.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1881695393
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/11/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1613 OAKWOOD STREET
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
BEDFORD
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24523
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-586-7273
Provider Business Mailing Address Fax Number:
434-200-1652

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1613 OAKWOOD STREET
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
BEDFORD
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24523
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-586-7273
Provider Business Practice Location Address Fax Number:
434-200-1652
Provider Enumeration Date:
08/09/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  0102049957 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com