Provider Demographics
NPI:1740499607
Name:MCFARREN, SUSAN TERRY (RN)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:TERRY
Last Name:MCFARREN
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 1:1170 LEXVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-2917
Mailing Address - Country:US
Mailing Address - Phone:419-756-8519
Mailing Address - Fax:
Practice Address - Street 1:555 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-1502
Practice Address - Country:US
Practice Address - Phone:419-774-5167
Practice Address - Fax:419-774-4590
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.283652163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health