Provider Demographics
NPI:1194940403
Name:MERKEL, DARLENE - I (CNA)
Entity type:Individual
Prefix:MISS
First Name:DARLENE
Middle Name:-
Last Name:MERKEL
Suffix:I
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 1:195 LYNESS AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:OH
Mailing Address - Zip Code:45030-1581
Mailing Address - Country:US
Mailing Address - Phone:513-367-1750
Mailing Address - Fax:
Practice Address - Street 1:195 LYNESS AVE APT 8
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-1581
Practice Address - Country:US
Practice Address - Phone:513-367-1750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide