Doctor Name: | DAROLYN UNDERWOOD PLANT |
NPI Number: | 1063693968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | NP17831 |
Business Practice Address: | 5 Mareblu # 250 Aliso Viejo, CA - 926563014 |
Business Phone Number: | 9496436901 |
Business Fax Number: | |
Mailing Address: | 405 W 5th St Ste 212, SANTA ANA |
State: | CA |
Postal Code: | 927014522 |
Phone Number: | 7148342125 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2007 |
NPI Last Update Date: | 09/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | NP17831 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |