Provider Demographics
NPI:1699507459
Name:DARPOH, HENRIETTA
Entity type:Individual
Prefix:
First Name:HENRIETTA
Middle Name:
Last Name:DARPOH
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 1:126 BOSWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:SMITHSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21783-1634
Mailing Address - Country:US
Mailing Address - Phone:240-305-1133
Mailing Address - Fax:
Practice Address - Street 1:126 BOSWELL BLVD
Practice Address - Street 2:
Practice Address - City:SMITHSBURG
Practice Address - State:MD
Practice Address - Zip Code:21783-1634
Practice Address - Country:US
Practice Address - Phone:240-305-1133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR241281163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0800XNursing Service ProvidersRegistered NurseOrthopedic