Provider Demographics
NPI:1831907617
Name:FARBER, ALLYSON MAE
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:MAE
Last Name:FARBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5920 HIDCOTE DR UNIT 1
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5571
Mailing Address - Country:US
Mailing Address - Phone:561-245-0974
Mailing Address - Fax:
Practice Address - Street 1:5920 HIDCOTE DR UNIT 1
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5571
Practice Address - Country:US
Practice Address - Phone:561-245-0974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty