Individual
NICHOLAS FARREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
11 CALDWELL RD, AUGUSTA, ME 04330-5739
(207) 873-2136
(207) 660-4529
Mailing address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
(207) 660-4529
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP2770
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP241113
ME
Other
Enumeration date
10/15/2007
Last updated
07/30/2024
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