MS. ELLEN JANE FARNSWORTH NP NPI 1962481283

NPI Information

NPI: 1962481283
Provider Name: MS. ELLEN JANE FARNSWORTH, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
55 OLD MAST RD
NURSE PRACTITIONER CARE LLC
PORTLAND, ME
ZIP 04102
Phone: (207) 671-4180
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MS. Ellen Jane Farnsworth, NP is an adult health nurse practitioner in Portland, ME. MS. Ellen Jane Farnsworth, NP NPI is 1962481283. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 OLD MAST RD
NURSE PRACTITIONER CARE LLC
PORTLAND, ME
ZIP 04102-935
Phone: (207) 671-4180

The NPI 1962481283 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/13/2006 and was last updated on 10/31/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	AP081049	MAINE	No
2	363LA2200X	Nurse Practitioner	Adult Health	CNP81049	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	FANP4964	MEDICARE ID-TYPE UNSPECIFIED
2	431776399	MEDICAID	MAINE
3	S80813	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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