Provider Demographics
NPI:1396107918
Name:SCHWERTFEGER, DARLA (RN, CNIM)
Entity type:Individual
Prefix:
First Name:DARLA
Middle Name:
Last Name:SCHWERTFEGER
Suffix:
Gender:F
Credentials:RN, CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2104 HEDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61704-2404
Mailing Address - Country:US
Mailing Address - Phone:309-287-1693
Mailing Address - Fax:888-688-0454
Practice Address - Street 1:2104 HEDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IL
Practice Address - Zip Code:61704
Practice Address - Country:US
Practice Address - Phone:309-287-1693
Practice Address - Fax:888-688-0454
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-23
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic