Provider Demographics
NPI:1245442979
Name:FARINA, JOAN ETHNA (RN)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:ETHNA
Last Name:FARINA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1584 RENO VIEW DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523
Mailing Address - Country:US
Mailing Address - Phone:775-846-8582
Mailing Address - Fax:
Practice Address - Street 1:10121 PINE AVE
Practice Address - Street 2:TAHOE FOREST HOSPITAL RN CRISIS SERVICES
Practice Address - City:TRUCKEE
Practice Address - State:NV
Practice Address - Zip Code:96161
Practice Address - Country:US
Practice Address - Phone:800-733-9953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA684520163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse