Provider Demographics
NPI:1104639574
Name:MCFARLAND, JOANIE E
Entity type:Individual
Prefix:
First Name:JOANIE
Middle Name:E
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 121
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:NE
Mailing Address - Zip Code:68741-0121
Mailing Address - Country:US
Mailing Address - Phone:402-404-1006
Mailing Address - Fax:
Practice Address - Street 1:205 POPLAR ST
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:NE
Practice Address - Zip Code:68741-3001
Practice Address - Country:US
Practice Address - Phone:402-404-1006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE21911146N00000X
NE251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic