Provider Demographics
NPI:1417761578
Name:FARLEY, LAUREN EILEEN (RN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:EILEEN
Last Name:FARLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:EILEEN
Other - Last Name:ABERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4611 E SHEA BLVD STE 190
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-4259
Mailing Address - Country:US
Mailing Address - Phone:480-889-0180
Mailing Address - Fax:
Practice Address - Street 1:4611 E SHEA BLVD STE 190
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-4259
Practice Address - Country:US
Practice Address - Phone:480-889-0180
Practice Address - Fax:480-889-0186
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ264782163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management