Provider Demographics
NPI:1164538559
Name:MCFARLAND, MAUREEN (CRNP)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N 12TH ST
Mailing Address - Street 2:
Mailing Address - City:LEHIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:18235-1138
Mailing Address - Country:US
Mailing Address - Phone:610-377-1300
Mailing Address - Fax:610-377-4758
Practice Address - Street 1:211 N 12TH ST
Practice Address - Street 2:
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-1138
Practice Address - Country:US
Practice Address - Phone:610-377-1300
Practice Address - Fax:610-377-4758
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP006307C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA500024135OtherRAILROAD MEDICARE
PAMC757328OtherHIGHMARK BLUE SHIELD
PA02100202OtherCAPITAL BLUE CROSS
PA02100202OtherCAPITAL BLUE CROSS
PAMC757328OtherHIGHMARK BLUE SHIELD