Provider Demographics
NPI:1841551983
Name:FARLEY, CAROLANN MARIE (NP-C)
Entity type:Individual
Prefix:
First Name:CAROLANN
Middle Name:MARIE
Last Name:FARLEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2043 E FIRESTONE DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-4632
Mailing Address - Country:US
Mailing Address - Phone:480-560-8647
Mailing Address - Fax:
Practice Address - Street 1:2905 W WARNER RD STE 110
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-1674
Practice Address - Country:US
Practice Address - Phone:480-603-9000
Practice Address - Fax:480-603-9109
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4507363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily