Healthcare Provider Details

I. General information

NPI: 1891930046
Provider Name (Legal Business Name): DENISE M FARLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2008
Last Update Date: 12/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 W CENTRAL AVE
TOLEDO OH
43606-3846
US

IV. Provider business mailing address

2150 W CENTRAL AVE
TOLEDO OH
43606-3846
US

V. Phone/Fax

Practice location:
  • Phone: 419-291-2210
  • Fax: 419-479-3258
Mailing address:
  • Phone: 419-291-2210
  • Fax: 419-479-3258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number139782
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: