Most Relevant Information
Provider Data
| NPI Number: | 1003482530 |
| Provider Name: | KATHERINE JO FARRELL |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | 078182-23 |
Most Important Dates
| Enumeration Date: | 06/03/2021 |
| Last Updated: | 08/04/2021 |
Provider Practice Location
8 PROSPECT ST
NASHUA
NH
030603925
Practice Location Phone/Fax
| Phone: | 6035772259 |
| Fax: |
Provider Mailing Location
PO BOX 3677
NASHUA
NH
030613677
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |