Healthcare Provider Details

I. General information

NPI: 1801790332
Provider Name (Legal Business Name): AMBER DAWN FARNSWORTH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 N 7TH ST
MARIETTA OH
45750-2269
US

IV. Provider business mailing address

146 STONE QUARRY RD
FLEMING OH
45729-5217
US

V. Phone/Fax

Practice location:
  • Phone: 740-374-6530
  • Fax:
Mailing address:
  • Phone: 304-494-6457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.351866
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: