Provider Demographics
NPI:1386972081
Name:FARRELL, VICKI LYNNE (RN, MSN,OCN,CRNP)
Entity type:Individual
Prefix:MRS
First Name:VICKI
Middle Name:LYNNE
Last Name:FARRELL
Suffix:
Gender:F
Credentials:RN, MSN,OCN,CRNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1201 LANGHORNE NEWTOWN RD
Mailing Address - Street 2:ST MARY MEDICAL CENTER
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1201
Mailing Address - Country:US
Mailing Address - Phone:215-710-5300
Mailing Address - Fax:215-710-6789
Practice Address - Street 1:1201 LANGHORNE NEWTOWN RD
Practice Address - Street 2:ST MARY MEDICAL CENTER
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1201
Practice Address - Country:US
Practice Address - Phone:215-710-5300
Practice Address - Fax:215-710-6789
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP010175363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner