NPI Profile for EILEEN R FARRELL in BROCKTON, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health, Adult |
364SP0809X | 89 | Certified Clinical Nurse Specialist | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Psychiatric/Mental Health, Community |
364SP0812X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1760506893 |
|
| Status | Active | |
| Credentials | RN,MSN,CNS-BC | |
| Entity | Individual | |
| Enumeration date | 03/16/2007 | |
| Last updated | 04/29/2021 - About 5 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EILEEN R FARRELL
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