Individual
MR. NATHANIEL MICHAEL FARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5522
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
344507
NY
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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