NPI 1629476718 · live from the CMS NPI Registry
Candice Farrare, FNP-C
Nurse Practitioner, Family in Baltimore, MD. National Provider Identifier 1629476718, active.
NPI record
| NPI | 1629476718 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1501 Division St, Baltimore, MD 21217 |
| Practice phone | 410-383-8300 |
| Mailing address | 14311 Oxford Dr, Laurel, MD 20707 |
| Enumerated | December 5, 2014 |
| Last updated | January 28, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | R218654 (MD) |
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | RN1022372 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.