Provider Demographics
NPI:1326919721
Name:ENSZ, DARYL (BSN RN NC-BC)
Entity type:Individual
Prefix:
First Name:DARYL
Middle Name:
Last Name:ENSZ
Suffix:
Gender:M
Credentials:BSN RN NC-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1176 SALT CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:FORT SUMNER
Mailing Address - State:NM
Mailing Address - Zip Code:88119-9413
Mailing Address - Country:US
Mailing Address - Phone:701-203-3373
Mailing Address - Fax:
Practice Address - Street 1:1176 SALT CEDAR DR
Practice Address - Street 2:
Practice Address - City:FORT SUMNER
Practice Address - State:NM
Practice Address - Zip Code:88119-9413
Practice Address - Country:US
Practice Address - Phone:701-203-3373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM56510171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach