Provider Demographics
NPI:1548914500
Name:DARROW, ELISABETH TEXANNA (RN)
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:TEXANNA
Last Name:DARROW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ELISABETH
Other - Middle Name:TEXANNA
Other - Last Name:BALENTINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:547 W SIERRA MADRE BLVD APT C
Mailing Address - Street 2:
Mailing Address - City:SIERRA MADRE
Mailing Address - State:CA
Mailing Address - Zip Code:91024-2737
Mailing Address - Country:US
Mailing Address - Phone:585-441-1961
Mailing Address - Fax:
Practice Address - Street 1:2900 E DEL MAR BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-4375
Practice Address - Country:US
Practice Address - Phone:585-441-1961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95073554163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health