Provider Demographics
NPI:1962716746
Name:LAMOREUX, FARRAH MARIE (APMHNP-BC, ARNP, MSN)
Entity type:Individual
Prefix:
First Name:FARRAH
Middle Name:MARIE
Last Name:LAMOREUX
Suffix:
Gender:
Credentials:APMHNP-BC, ARNP, MSN
Other - Prefix:
Other - First Name:FARRAH
Other - Middle Name:MARIE
Other - Last Name:LAMOREUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APMHNP-BC, ARNP, MSN
Mailing Address - Street 1:4435 E CHANDLER BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-7651
Mailing Address - Country:US
Mailing Address - Phone:833-351-8255
Mailing Address - Fax:888-815-3583
Practice Address - Street 1:4435 E CHANDLER BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-7651
Practice Address - Country:US
Practice Address - Phone:833-351-8255
Practice Address - Fax:888-815-3583
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY406999363LP0808X
IAG-115089363LP0808X
AZAP8550363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health