Provider Demographics
NPI:1114783164
Name:FARRAR, BRITTANY PAIGE (NP)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:PAIGE
Last Name:FARRAR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1253 11TH ST UNIT 5
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-2050
Mailing Address - Country:US
Mailing Address - Phone:314-277-7507
Mailing Address - Fax:
Practice Address - Street 1:1253 11TH ST UNIT 5
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-2050
Practice Address - Country:US
Practice Address - Phone:314-277-7507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF01240044363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily