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NPI Code Detail

MEDICARE: ANDREW JAMES FARRIS RN

MEDICARE: ANDREW JAMES FARRIS 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
1363L00000XNurse Practitioner218218AZ

General Provider Information

NPI Number : 1962353946
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW JAMES FARRIS RN
Provider Business Mailing Address
First Line : 16852 W LAS PALMARITAS DR
Second Line :
City : WADDELL
State : AZ
Zip : 85355-7933
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1331 N 7TH ST STE 375
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2707
Country : US
Telephone Number : 602-307-0070
Fax Number : 602-307-0080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 03/05/2026

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Directions to “ ANDREW JAMES FARRIS RN” Practice Location

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