| Doctor Name: | MRS. ANDREA LYNN FARWELL |
| NPI Number: | 1104152107 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 26NJ00301800 |
| Business Practice Address: | 363 W Browning Rd Ste A Bellmawr, NJ - 080311982 |
| Business Phone Number: | 8569316950 |
| Business Fax Number: | 8569316951 |
| Mailing Address: | 500 Grove St, Suite 100 HADDON HEIGHTS |
| State: | NJ |
| Postal Code: | 080351761 |
| Phone Number: | 8567969200 |
| Fax Number: | 8567969397 |
| NPI Enumeration Date: | 10/26/2009 |
| NPI Last Update Date: | 06/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NJ00301800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |