MR. NATHAN WADE DARST
NPI 1922419076
Counselor - Pastoral in Fairmont, OK
Active since May 12, 2014
About Mr. Nathan Wade Darst NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. NATHAN WADE DARST (NPI 1922419076) is an individual pastoral provider in Fairmont, Oklahoma, licensed in Oklahoma (2706042) and active in the NPI registry since May 2014.
NPPES Registry Identity
NPI1922419076
Entity TypeIndividualMale
Primary Taxonomy101YP1600X
Provider Legal NameMR. NATHAN WADE DARST
Location Address525 E BUFFALO STFairmont, OK 73736-1177
Mailing Address525 E Buffalo StFairmont, OK 73736-1177 · (580) 554-7833
Phone(580) 554-7833
Sole ProprietorYes
Enumeration DateMay 12, 2014
✔ NPI 1922419076 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
License✔ Licensed in OK · 2706042
525 E BUFFALO ST, Fairmont, OK 73736
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922419076, enumerated as an "individual" on May 12, 2014.
The provider is located at 525 E BUFFALO ST FAIRMONT, OK 73736 and the phone number is (580) 554-7833.
Counselor with taxonomy code 101YP1600X and a focus in Pastoral.
