Provider Demographics
NPI:1104794080
Name:FARMER, ELISA BETH (CNA)
Entity type:Individual
Prefix:
First Name:ELISA
Middle Name:BETH
Last Name:FARMER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 SELLERS RD
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-7751
Mailing Address - Country:US
Mailing Address - Phone:828-226-6391
Mailing Address - Fax:
Practice Address - Street 1:181 SELLERS RD
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-7751
Practice Address - Country:US
Practice Address - Phone:828-226-6391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC239748376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide