Healthcare Provider Details

I. General information

NPI: 1336276989
Provider Name (Legal Business Name): CARRIE LYNN FARRINGTON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 N HIGHWAY 69
FRONTENAC KS
66763-8100
US

IV. Provider business mailing address

302 N HOSPITAL DR
GIRARD KS
66743-2000
US

V. Phone/Fax

Practice location:
  • Phone: 620-235-1377
  • Fax: 620-235-1558
Mailing address:
  • Phone: 620-724-8291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number45615
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: