Provider Demographics
NPI:1316711161
Name:STRATTON, DARLENE SUNNY
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:SUNNY
Last Name:STRATTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 JACKSON PARK DR NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-7307
Mailing Address - Country:US
Mailing Address - Phone:330-839-1500
Mailing Address - Fax:
Practice Address - Street 1:4443 PAIGE AVE NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-1863
Practice Address - Country:US
Practice Address - Phone:330-839-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty