Provider Demographics
NPI:1154980910
Name:SUNDERLAND, DARLIS JANELLE (CNM)
Entity type:Individual
Prefix:
First Name:DARLIS
Middle Name:JANELLE
Last Name:SUNDERLAND
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:DARLIS
Other - Middle Name:JANELLE
Other - Last Name:VARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:400 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-1167
Practice Address - Country:US
Practice Address - Phone:717-248-5411
Practice Address - Fax:570-242-4212
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010532176B00000X, 367A00000X
PAMV5326916367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife