Individual
HEATHER A FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
501 N LANSDOWNE AVE, DREXEL HILL, PA 19026-1114
(610) 853-7700
Mailing address
24 E PRINCETON RD, BALA CYNWYD, PA 19004-2241
(856) 332-8089
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
NO120364
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN579881
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01227824000
AMERICHOICE
NJ
Enumeration date
02/06/2007
Last updated
06/18/2021
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