Doctor Name: | MS. LAURIE FARLEY |
NPI Number: | 1033425616 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | AP101051 |
Business Practice Address: | 57 Water St Blue Hill, ME - 04614 |
Business Phone Number: | 2073742311 |
Business Fax Number: | 2073743984 |
Mailing Address: | 57 Water Street, BLUE HILL |
State: | ME |
Postal Code: | 04614 |
Phone Number: | 2073742311 |
Fax Number: | 2073743984 |
NPI Enumeration Date: | 08/20/2010 |
NPI Last Update Date: | 10/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP101051 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |