Provider Demographics
NPI:1578872107
Name:FARNSWORTH, ERIN M (NP)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:M
Last Name:FARNSWORTH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 CAMBRIDGE PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-2313
Mailing Address - Country:US
Mailing Address - Phone:617-665-7071
Mailing Address - Fax:617-665-8494
Practice Address - Street 1:87 CAMBRIDGE PARK DRIVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-2313
Practice Address - Country:US
Practice Address - Phone:617-665-7071
Practice Address - Fax:617-665-8494
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA177461363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health