| Doctor Name: | MS. EYDIE ANN FARROW |
| NPI Number: | 1487652772 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | 1707 |
| Business Practice Address: | 105 4th Ave Shell Lake, WI - 548710336 |
| Business Phone Number: | 7154682711 |
| Business Fax Number: | 7154682727 |
| Mailing Address: | Po Box 336, SHELL LAKE |
| State: | WI |
| Postal Code: | 548710336 |
| Phone Number: | 7154682711 |
| Fax Number: | 7154682727 |
| NPI Enumeration Date: | 07/11/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1707 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |