Individual
PHYLLIS FARBER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3181 CONSERVANCY ESTATES LN, SUN PRAIRIE, WI 53590-9249
(608) 837-7219
Mailing address
1409 NEVADA RD, MADISON, WI 53704-1856
(608) 249-5716
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6453031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38213400
—
WI
Enumeration date
05/17/2006
Last updated
07/08/2007
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