Farabee, Marjorie E

Farabee, Marjorie E is an individual health care provider with primary practice located at 4331 S Fremont Ave , Springfield MO 65804-7328. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Farabee, Marjorie E can be contacted via phone (417) 820-5000.

Contact Information

Primary practice address
4331 S Fremont Ave Springfield MO 65804-7328
Phone: (417) 820-5000
Fax: (417) 820-5025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 072392 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 072392 Missouri

Profile Details

NPI number 1144360066
LBN Legal business name Farabee, Marjorie E
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 2nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144360066 NPPES
Missouri Other 108136 MO BLUE SHIELD
Missouri MEDICAID 423771302 MO BLUE SHIELD

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