Farrell, Courtney

Farrell, Courtney is an individual health care provider with primary practice located at 100 N Mario Capecchi Dr , Salt Lake City UT 84113-1103. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Farrell, Courtney can be contacted via phone (801) 662-4261.

Contact Information

Primary practice address
100 N Mario Capecchi Dr Salt Lake City UT 84113-1103
Phone: (801) 662-4261
Fax: (801) 662-4285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 382637 New York
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 12864933-4405 Utah

Profile Details

NPI number 1023461068
LBN Legal business name Farrell, Courtney
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2016
Last updated Feb 2nd, 2023 - about 3 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 1023461068 NPPES
New York MEDICAID 04539382

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