Provider Demographics
NPI:1861259749
Name:DARRIGRAND, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:DARRIGRAND
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 1:604 WALTERS DR
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-6179
Mailing Address - Country:US
Mailing Address - Phone:610-730-8614
Mailing Address - Fax:
Practice Address - Street 1:604 WALTERS DR
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-6179
Practice Address - Country:US
Practice Address - Phone:610-730-8614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula