Farevaag, Karyn Harvey

Farevaag, Karyn Harvey is an individual health care provider with primary practice located at 353 Blair Park Rd , Williston VT 05495-7530. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Farevaag, Karyn Harvey can be contacted via phone (802) 847-1470.

Contact Information

Primary practice address
353 Blair Park Rd Williston VT 05495-7530
Phone: (802) 847-1470
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 101-0134554 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 101-0134554 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 265605 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN265605 Massachusetts

Profile Details

NPI number 1215364062
LBN Legal business name Farevaag, Karyn Harvey
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2013
Last updated Feb 11th, 2021 - about 5 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 1215364062 NPPES
Massachusetts MEDICAID 110098110A

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