Healthcare Provider Details

I. General information

NPI: 1457019812
Provider Name (Legal Business Name): CATHY EILEEN FARLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2021
Last Update Date: 12/02/2021
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5231 PENN AVE
PITTSBURGH PA
15224-1768
US

IV. Provider business mailing address

549 HALCOMB AVE
CLAIRTON PA
15025-1404
US

V. Phone/Fax

Practice location:
  • Phone: 412-216-1370
  • Fax:
Mailing address:
  • Phone: 412-849-9412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN252535L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN252535L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: