Provider Demographics
NPI:1215302666
Name:MCFARLAND, GINA CHERIE (RN)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:CHERIE
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 N SAINT CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:SALMON
Mailing Address - State:ID
Mailing Address - Zip Code:83467-4025
Mailing Address - Country:US
Mailing Address - Phone:208-940-0562
Mailing Address - Fax:
Practice Address - Street 1:319 N SAINT CHARLES ST
Practice Address - Street 2:
Practice Address - City:SALMON
Practice Address - State:ID
Practice Address - Zip Code:83467-4025
Practice Address - Country:US
Practice Address - Phone:208-940-0562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-10
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X, 341600000X
IDN-33307163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
No3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance