Provider Demographics
NPI:1861263279
Name:DARPOH, FATU ESTHER (BSN)
Entity type:Individual
Prefix:MS
First Name:FATU
Middle Name:ESTHER
Last Name:DARPOH
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18962 HELEN WAY
Mailing Address - Street 2:
Mailing Address - City:BIG LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55309-4718
Mailing Address - Country:US
Mailing Address - Phone:610-741-7437
Mailing Address - Fax:610-741-7437
Practice Address - Street 1:18962 HELEN WAY
Practice Address - Street 2:
Practice Address - City:BIG LAKE
Practice Address - State:MN
Practice Address - Zip Code:55309-4718
Practice Address - Country:US
Practice Address - Phone:610-741-7437
Practice Address - Fax:610-741-7437
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2511511163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse