Individual
MS. ELLEN REILLEY FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4579 WILLOWS RD, CHESAPEAKE BEACH, MD 20732-4217
(443) 271-0688
(443) 271-0688
Mailing address
4579 WILLOWS RD, CHESAPEAKE BEACH, MD 20732-4217
(443) 271-0688
(443) 271-0688
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R086637
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404250600
—
MD
Enumeration date
12/05/2006
Last updated
09/10/2021
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