Individual
STEPHANIE ERICA FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
45 GREEN HOLLOW RD, DANIELSON, CT 06239-3509
(860) 779-0066
Mailing address
6 MUSSEY BROOK RD, MANVILLE, RI 02838-1802
(401) 479-0147
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004326
CT
363A00000X
Physician Assistant
PA01087
RI
363A00000X
Physician Assistant
PA6639
MA
Other
Enumeration date
10/31/2018
Last updated
04/16/2025
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