Provider Demographics
NPI:1023135480
Name:FARRELL, SHARON W (RNC,ANP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:W
Last Name:FARRELL
Suffix:
Gender:F
Credentials:RNC,ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 WEST LN
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-2605
Mailing Address - Country:US
Mailing Address - Phone:973-377-3775
Mailing Address - Fax:
Practice Address - Street 1:84 COLD HILL RD
Practice Address - Street 2:
Practice Address - City:MENDHAM
Practice Address - State:NJ
Practice Address - Zip Code:07945-2021
Practice Address - Country:US
Practice Address - Phone:973-543-2500
Practice Address - Fax:973-543-4123
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08126100363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health