Provider Demographics
NPI:1316354418
Name:DARPINO, GINA MARIE (FNP)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:MARIE
Last Name:DARPINO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:NY
Mailing Address - Zip Code:13790-2050
Mailing Address - Country:US
Mailing Address - Phone:607-798-1602
Mailing Address - Fax:607-798-1605
Practice Address - Street 1:355 MAIN ST
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:NY
Practice Address - Zip Code:13790-2050
Practice Address - Country:US
Practice Address - Phone:607-798-1602
Practice Address - Fax:607-798-1605
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY339015363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
J400166336Medicare UPIN