Provider Demographics
NPI:1881259810
Name:FARR, ANETA TEVY (CPNP)
Entity type:Individual
Prefix:
First Name:ANETA
Middle Name:TEVY
Last Name:FARR
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 MAIN ST STE 9
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-2420
Mailing Address - Country:US
Mailing Address - Phone:215-256-3080
Mailing Address - Fax:215-256-1497
Practice Address - Street 1:345 MAIN ST STE 9
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2420
Practice Address - Country:US
Practice Address - Phone:215-256-3080
Practice Address - Fax:215-256-1497
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020142208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics