Tracey Ann Farquhar, LPN
Individual provider Active NPI Licensed Practical Nurse · Johnstown, NY
NPI 1295904480 · NPPES record last updated Feb 21, 2008
Key facts
- NPI
- 1295904480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 210706-1 (NY)
- Practice address
- 20 Gilbert St
Johnstown, NY 12095-2326 - Phone
- (518) 762-6859
- NPI assigned
- Feb 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 210706-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 210706-1 | NY | Yes |
Addresses
Primary practice location
20 Gilbert St
Johnstown, NY 12095-2326
Mailing address
20 Gilbert St
Johnstown, NY 12095-2326
Other providers in Johnstown, NY
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- Sarah Elizabeth Eipp
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- Stephanie Ellsworth
- Allana Lyn Peralta Espinosa
- Fccnysarc
- Fccnysarc
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- Jennifer Lee Feagles
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All providers in Johnstown, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2008. 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.