Doctor Name: | MS. JOANNA FARRAGHER |
NPI Number: | 1164609368 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | NP-03259 |
Business Practice Address: | 5133 Ridge Rd Ste 1 Wadsworth, OH - 442818078 |
Business Phone Number: | 3302394455 |
Business Fax Number: | 3302394456 |
Mailing Address: | 24701 Euclid Ave, Third Floor Billing Services EUCLID |
State: | OH |
Postal Code: | 441171714 |
Phone Number: | 3302394455 |
Fax Number: | 3302394456 |
NPI Enumeration Date: | 01/30/2008 |
NPI Last Update Date: | 11/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | NP-03259 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |