Provider Demographics
NPI:1104506278
Name:GARNER, DARAPHONE (CNA)
Entity type:Individual
Prefix:MRS
First Name:DARAPHONE
Middle Name:
Last Name:GARNER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92-954 MAKAKILO DR APT 69
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1340
Mailing Address - Country:US
Mailing Address - Phone:619-788-9906
Mailing Address - Fax:
Practice Address - Street 1:92-954 MAKAKILO DR APT 69
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1340
Practice Address - Country:US
Practice Address - Phone:619-788-9906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374U00000X, 376J00000X
HIHI000017828E376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker