Amy Farrell, RN

Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Wakefield, MI

NPI 1306503909 · NPPES record last updated Nov 18, 2021

Key facts

NPI
1306503909
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
License
4704315565 (MI)
Practice address
103 W US Highway 2
Wakefield, MI 49968-9515
Phone
(906) 229-6134
NPI assigned
Nov 18, 2021
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
4704315565MIMDPsychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 4704315565 MI Yes

Addresses

Primary practice location

103 W US Highway 2
Wakefield, MI 49968-9515

Mailing address

600 1/2 Riverside Dr
Hurley, WI 54534-1081
Phone (906) 231-9958

Other providers in Wakefield, MI

All providers in Wakefield, MI · Psychiatric/Mental Health Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.