Provider Demographics
NPI:1356676027
Name:FARR, ROSE M (RN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:M
Last Name:FARR
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 KENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-2004
Mailing Address - Country:US
Mailing Address - Phone:914-636-4987
Mailing Address - Fax:
Practice Address - Street 1:36 KENWOOD DR
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-2004
Practice Address - Country:US
Practice Address - Phone:914-636-4987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332382-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner