Provider Demographics
NPI:1114690435
Name:MCFARLAND, NIARI ANNE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:NIARI
Middle Name:ANNE
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5974 FASHION POINT DR STE 110
Mailing Address - Street 2:
Mailing Address - City:SOUTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-4712
Mailing Address - Country:US
Mailing Address - Phone:801-917-2270
Mailing Address - Fax:
Practice Address - Street 1:5974 FASHION POINT DR STE 110
Practice Address - Street 2:
Practice Address - City:SOUTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-4712
Practice Address - Country:US
Practice Address - Phone:801-917-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-02
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4829625-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner