Healthcare Provider Details

I. General information

NPI: 1669319414
Provider Name (Legal Business Name): CARLEIGH FARRELL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7821 RALEIGH ST
WESTMINSTER CO
80030-4423
US

IV. Provider business mailing address

7821 RALEIGH ST
WESTMINSTER CO
80030-4423
US

V. Phone/Fax

Practice location:
  • Phone: 808-279-6295
  • Fax:
Mailing address:
  • Phone: 808-279-6295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number286114
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: