Provider Demographics
NPI:1164789277
Name:MCFARLAND, WAYNE WALTER (NP)
Entity Type:Individual
Prefix:MR
First Name:WAYNE
Middle Name:WALTER
Last Name:MCFARLAND
Suffix:
Gender:M
Credentials:NP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:700 WASHINGTON ST
Mailing Address - Street 2:BATH IRON WORKS EMPLOYEE HEALTH DEPARTMENT
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530-2574
Mailing Address - Country:US
Mailing Address - Phone:207-442-4268
Mailing Address - Fax:207-442-3386
Practice Address - Street 1:700 WASHINGTON ST
Practice Address - Street 2:BATH IRON WORKS EMPLOYEE HEALTH DEPARTMENT
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530-2574
Practice Address - Country:US
Practice Address - Phone:207-442-4268
Practice Address - Fax:207-442-3386
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP81001363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM0026864OtherDRUG ENFORCEMENT ADMINISTRATION