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NPI Code Detail

MEDICARE: MR. GREGORY A FARVER RN

MEDICARE: MR. GREGORY A FARVER RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WE0003XEmergency Registered Nurse176077-30WI

General Provider Information

NPI Number : 1538017108
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GREGORY A FARVER RN
Provider Business Mailing Address
First Line : 212 N WEST AVE
Second Line :
City : JEFFERSON
State : WI
Zip : 53549-1233
Country : US
Telephone Number : 608-225-4360
Fax Number :
Provider Business Practice Location Address
First Line : 2500 OVERLOOK TER
Second Line :
City : MADISON
State : WI
Zip : 53705-2254
Country : US
Telephone Number : 608-280-7166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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