Healthcare Provider Details
I. General information
NPI: 1346417813
Provider Name (Legal Business Name): CLAIRE WIETESKA FARNELL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/13/2008
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date: 10/15/2025
Reactivation Date: 11/13/2025
III. Provider practice location address
1993 ERRECART BLVD
ELKO NV
89801-8334
US
IV. Provider business mailing address
1319 COLLEGE AVE
ELKO NV
89801-3427
US
V. Phone/Fax
- Phone: 775-753-1049
- Fax:
- Phone: 775-778-5270
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 832608 |
| License Number State | NV |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LN0005X |
| Taxonomy | Critical Care Neonatal Nurse Practitioner |
| License Number | 832608 |
| License Number State | NV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: