Joan Ethna Farina, RN

Individual provider Active NPI Registered Nurse · Truckee, NV

NPI 1245442979 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1245442979
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
684520 (CA)
Practice address
10121 Pine Ave
Tahoe Forest Hospital RN Crisis Services
Truckee, NV 96161
Phone
(800) 733-9953
NPI assigned
May 4, 2007
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
684520CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 684520 CA Yes

Addresses

Primary practice location

10121 Pine Ave
Tahoe Forest Hospital RN Crisis Services
Truckee, NV 96161

Mailing address

1584 Reno View Dr
Reno, NV 89523
Phone (775) 846-8582

Sources for this page

Verify at the official NPI Registry.