Patricia Diane Farmer, FNP
Individual provider Active NPI Family Nurse Practitioner · Mad River, CA
NPI 1124028790 · NPPES record last updated Mar 29, 2012
Key facts
- NPI
- 1124028790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- X283814 (CA)
- Practice address
- 321 Van Duzen River Rd
Mad River, CA 95552 - Phone
- (707) 574-6616
- NPI assigned
- Jul 26, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X283814 | CA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | X283814 | CA | Yes |
Addresses
Primary practice location
321 Van Duzen River Rd
Mad River, CA 95552
Mailing address
390 Dick Smith Rd
Fortuna, CA 95540-9207
Phone (707) 725-2904
Other providers in Mad River, CA
- Reena Anand
- Julie Bussman
- Georgene Bernice Chase
- Nicholas Neal Entsminger
- Southern Trinity Area Rescue Inc
- Southern Trinity Health Inc
- Southern Trinity Health Inc
- The Wecare Group, Inc.
- The Wecare Group, Inc.
All providers in Mad River, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.