Provider Demographics
NPI:1154723328
Name:FAIBISH, DARCY NORA (NP)
Entity type:Individual
Prefix:
First Name:DARCY
Middle Name:NORA
Last Name:FAIBISH
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:VT
Mailing Address - Zip Code:05445-0042
Mailing Address - Country:US
Mailing Address - Phone:802-448-4408
Mailing Address - Fax:802-341-6595
Practice Address - Street 1:PO BOX 42
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:VT
Practice Address - Zip Code:05445-0042
Practice Address - Country:US
Practice Address - Phone:802-448-4408
Practice Address - Fax:802-341-6595
Is Sole Proprietor?:No
Enumeration Date:2014-09-19
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2284088363L00000X
VT101.0135187363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner