Provider Demographics
NPI:1013372390
Name:FARR, ERIN (NP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:FARR
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 E MAIN ST STE C
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-2053
Mailing Address - Country:US
Mailing Address - Phone:864-863-0336
Mailing Address - Fax:828-697-5707
Practice Address - Street 1:841 E MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-2053
Practice Address - Country:US
Practice Address - Phone:864-285-4533
Practice Address - Fax:864-285-4432
Is Sole Proprietor?:No
Enumeration Date:2015-12-30
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19749363LF0000X, 363LP0808X
COC-APN.0102138-C-NP363LF0000X
NC5020719363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP3691Medicaid
SCSC75427951Medicare PIN