Provider Demographics
NPI:1649372178
Name:MCFARLAND, JOAN NERLAND (DPM)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:NERLAND
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6768 S NIAGARA CT
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1011
Mailing Address - Country:US
Mailing Address - Phone:720-323-6889
Mailing Address - Fax:
Practice Address - Street 1:6768 S NIAGARA CT
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1011
Practice Address - Country:US
Practice Address - Phone:720-323-6889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2009-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO491213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01004910Medicaid
CO4202OtherBLUE CROSS BLUE SHIELD
CO491OtherLICENSE NUMBER
COU42402Medicare UPIN
COC54153Medicare PIN
CO480020038Medicare PIN