Healthcare Provider Details

I. General information

NPI: 1922415447
Provider Name (Legal Business Name): STEPHANIE FARQUHARSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2014
Last Update Date: 02/11/2024
Certification Date: 02/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 ARCHMERE SQ S
COLUMBUS OH
43229-1913
US

IV. Provider business mailing address

1436 ARCHMERE SQ S
COLUMBUS OH
43229-1913
US

V. Phone/Fax

Practice location:
  • Phone: 614-354-4165
  • Fax: 614-396-6792
Mailing address:
  • Phone: 614-354-4165
  • Fax: 614-396-6792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number391554
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: