Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NN08126100 | NJ |
NPI | 1023135480 |
---|---|
Provider Name | Sharon W Farrell |
First Address | Madison, NJ 07940-2605 |
Second Address | Mendham, NJ 07945-2021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 08/07/2007 |