Provider Demographics
NPI:1265865299
Name:FARLEY, NANCY LYN (MSN, RND)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:LYN
Last Name:FARLEY
Suffix:
Gender:F
Credentials:MSN, RND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 42ND ST SW
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2055
Mailing Address - Country:US
Mailing Address - Phone:425-238-6412
Mailing Address - Fax:425-953-2586
Practice Address - Street 1:327 42ND ST SW
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2055
Practice Address - Country:US
Practice Address - Phone:425-238-6412
Practice Address - Fax:425-953-2586
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00103515163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse