Provider Demographics
NPI:1407441504
Name:FARQUHARSON, LEONIE REININE
Entity Type:Individual
Prefix:MS
First Name:LEONIE
Middle Name:REININE
Last Name:FARQUHARSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PENN STATE HEALTH OB/GYN
Mailing Address - Street 2:2494 BERNVILLE RD STE 100
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605
Mailing Address - Country:US
Mailing Address - Phone:610-378-2899
Mailing Address - Fax:
Practice Address - Street 1:2494 BERNVILLE RD STE 100
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-9466
Practice Address - Country:US
Practice Address - Phone:610-378-2899
Practice Address - Fax:610-378-2980
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010591176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMW010591OtherBOARD OF MEDICINE
PARN651549OtherBOARD OF NURSING