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DARRELL DEMARTINO FNP-BC, RN, EMT-P
NPI 1669862348
Nurse Practitioner - Acute Care in Bridgeton, MO

Active since February 02, 2015
12303 DEPAUL DRIVE, BRIDGETON, MO 63044(517) 242-1705 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Darrell Demartino Fnp-bc, Rn, Emt-p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DARRELL DEMARTINO FNP-BC, RN, EMT-P (NPI 1669862348) is an individual acute care provider in Bridgeton, Missouri, licensed in Missouri (2017002497) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1669862348
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameDARRELL DEMARTINOCredential: FNP-BC, RN, EMT-P
Location Address12303 DEPAUL DRIVEBridgeton, MO 63044
Mailing Address206 Redmond Pines DrWentzville, MO 63385-4304
Phone(517) 242-1705
Sole ProprietorNo
Enumeration DateFebruary 2, 2015
Last NPPES UpdateFebruary 13, 2018
✔ NPI 1669862348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MO · 2017002497
Also ListedEmergency Medical Technician, ParamedicTaxonomy 146L00000X · License P-20168 (MO), 3201009993 (MI)
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704274228 (MI)
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 2016044503 (MO)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2017002498 (MO), 4704274228 (MI)
12303 DEPAUL DRIVE, Bridgeton, MO 63044
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA WILD FNP
Family Medicine
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County (314) 344-6080
JOANNE M MALCHAREK MD
Pediatrics
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County (314) 344-6000
MR. GARY D CLARK CRNA
Registered Nurse
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County (314) 344-7049
SUSAN H FLIESHER NP
Nurse Practitioner (Pediatrics)
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County (314) 344-6000
MRS. CASSANDRA LYNN TURNER N.P.
Nurse Practitioner (Psychiatric/Mental Health)
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County (636) 699-3468
MRS. MARSHA ANN ALDERSON RD, LD
Dietitian, Registered
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County (314) 344-7961
DR. RICHARD BONSRA FYNN MD,DPM
Podiatrist (Foot & Ankle Surgery)
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County (636) 734-5835
JAY SCHON
Podiatrist (Foot & Ankle Surgery)
12303 DEPAUL DRIVE
BRIDGETON, MO 63044
St. Louis County (314) 344-7545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Darrell Demartino's NPI number?

The NPI number for Darrell Demartino is 1669862348. It was assigned to this individual provider in the NPPES registry on February 2, 2015.

Where is Darrell Demartino located?

Darrell Demartino practices at 12303 Depaul Drive, Bridgeton, MO 63044. The listed phone number is (517) 242-1705.

What is Darrell Demartino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Darrell Demartino was last updated on February 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.