Provider Demographics
NPI:1851933162
Name:MCFARREN, EVELYN JEANNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:JEANNE
Last Name:MCFARREN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:EVELYN
Other - Middle Name:JEANNE
Other - Last Name:ILSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:PO BOX 148
Mailing Address - Street 2:
Mailing Address - City:RENSSELAER
Mailing Address - State:NY
Mailing Address - Zip Code:12144-0148
Mailing Address - Country:US
Mailing Address - Phone:518-449-1142
Mailing Address - Fax:518-449-1320
Practice Address - Street 1:9 WILSON AVE
Practice Address - Street 2:
Practice Address - City:SOUTH GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12803-5123
Practice Address - Country:US
Practice Address - Phone:518-207-8861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY737369163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health