Provider Demographics
NPI:1558533992
Name:FARRELL, LANI J (CRNP)
Entity Type:Individual
Prefix:
First Name:LANI
Middle Name:J
Last Name:FARRELL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:412 CREAMERY WAY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2500
Mailing Address - Country:US
Mailing Address - Phone:610-431-7929
Mailing Address - Fax:610-594-2625
Practice Address - Street 1:795 E MARSHALL ST
Practice Address - Street 2:SUITE G2
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4400
Practice Address - Country:US
Practice Address - Phone:610-431-7929
Practice Address - Fax:610-594-2625
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2013-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PARN533034163W00000X
PASP009463363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse