MEDICARE: DEBORAH FARBER APRN, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SP0813X	Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist

General Provider Information

NPI Number	:	1699248377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEBORAH FARBER APRN, P.C.

Provider Business Mailing Address
First Line	:	175 DERBY ST STE 7
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-4021
Country	:	US
Telephone Number	:	781-749-2278
Fax Number	:	781-740-0233

Provider Business Practice Location Address
First Line	:	175 DERBY ST STE 7
Second Line	:
City	:	HINGHAM
State	:	MA
Zip	:	02043-4021
Country	:	US
Telephone Number	:	781-749-2278
Fax Number	:	781-740-0233

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DEBORAH FARBER
Credential	:	APRN
Telephone Number	:	781-749-2278

Provider Enumeration Date	:	01/06/2019
Last Update Date	:	01/06/2019

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