Provider Demographics
NPI:1063778298
Name:TAYLOR-CROMMETT, DARLENE DENISE (RN)
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:DENISE
Last Name:TAYLOR-CROMMETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:DARLENE
Other - Middle Name:DENISE
Other - Last Name:FISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5 OLLIE WAY
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:ME
Mailing Address - Zip Code:04330-1974
Mailing Address - Country:US
Mailing Address - Phone:207-482-9731
Mailing Address - Fax:
Practice Address - Street 1:5 OLLIE WAY
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:ME
Practice Address - Zip Code:04330-1974
Practice Address - Country:US
Practice Address - Phone:207-482-9731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER036549163WC0400X, 163WG0000X, 163WH0200X, 163WH1000X, 163WI0500X, 163WP0000X, 163WS0200X, 171M00000X, 172A00000X, 372600000X, 373H00000X, 376J00000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WP0000XNursing Service ProvidersRegistered NursePain Management
No163WS0200XNursing Service ProvidersRegistered NurseSchool
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172A00000XOther Service ProvidersDriver
No372600000XNursing Service Related ProvidersAdult Companion
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No376J00000XNursing Service Related ProvidersHomemaker