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Organization
STEFAN FARRELL RNFA, PLLC
Active
Organization
STEFAN FARRELL RNFA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEFAN BRICE FARRELL CNS, CRNFA (OWNER)
(480) 844-9817
Entity
Organization
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(480) 844-9817
(480) 461-9195
Mailing address
PO BOX 30361, MESA, AZ 85275-0361
(480) 844-9817
(480) 461-9195
Taxonomy
Speciality
Code
Description
License number
State
364SP2800X
Perioperative Clinical Nurse Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189762400
US LABOR
—
01
—
1Z4109
HEALTHNET
AZ
05
—
479073
—
AZ
01
—
7562119
CIGNA
—
01
—
890001034
RAILROAD
—
01
—
AZ 0167830
BC/BS
AZ
Enumeration date
08/14/2006
Last updated
11/27/2012
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