SAMANTHA AUGUSTA FARNUM


Address: 1950 Center Creek Dr, Fairmont, MN 56031-3428
Phone: 5072384968

SAMANTHA AUGUSTA FARNUM (NPI# 1437518552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437518552
Entity Type Individual
Full Name SAMANTHA AUGUSTA FARNUM
Credential APRN
Practice Address 1950 Center Creek Dr
Fairmont
MN 56031-3428
Practice Telephone 5072384968
Mailing Telephone 5072384968
Enumeration Date 2016-02-17
Last Update Date 2016-02-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
CNP4398 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1950 CENTER CREEK DR
City FAIRMONT
State MN
Zip Code 56031-3428

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053395293 Denise Schavey Family Medicine 1950 Center Creek Dr, Suite 100, Fairmont, MN 56031-3428 2005-12-01
1902100415 Kaylynn R Steinkamp Physician Assistant 1950 Center Creek Dr, Suite 100, Fairmont, MN 56031-3428 2010-12-28
1154631653 Rebekah Jean Boer Nurse Practitioner 1950 Center Creek Dr, Fairmont, MN 56031-3428 2010-10-18
1265632483 Courtney A. Keith Family Medicine 1950 Center Creek Dr, Suite 100, Fairmont, MN 56031-3428 2007-07-25
1790750875 Amy Lynn Winter Nurse Practitioner 1950 Center Creek Dr, Suite 100, Fairmont, MN 56031-3428 2006-02-22
1609846989 Carolyn Drevlow Nurse Practitioner 1950 Center Creek Dr, Suite 100, Fairmont, MN 56031-3428 2006-01-26
1124002761 Steven Edward Parnell Family Medicine 1950 Center Creek Dr, Suite 100, Fairmont, MN 56031-3428 2005-12-06
1932183084 Nathan Reyelts Physician Assistant 1950 Center Creek Dr, Suite 100, Fairmont, MN 56031-3428 2005-12-02

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NPI Name Taxonomy Address Enumeration
1407097025 David Robert Rynders Counselor 301 Downtown Plaza, #3, Fairmont, MN 56031 2009-03-11
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1417099813 Thomas Joe Larson Dentist 800 Clinic Circle, Fairmont, MN 56031 2007-02-13
1912076795 Rem Heartland Inc Intermediate Care Facility, Mentally Retarded 111 Dorothy Street, Fairmont, MN 56031 2006-11-07
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1588744155 Kerri Lynn Henderson Chiropractor 115 1/2 West Blue Earth Ave, Fairmont, MN 56031 2006-10-17
1427142199 Maurice Lee Shoen Counselor 115 West First St, Fairmont, MN 56031 2006-10-03
1538253703 Nathan Craig Jorgenson Dentist 717 South State Street, Suite 600, Fairmont, MN 56031 2006-10-03
1942311154 Leon James Rochovitz Optometrist 288 S State Street, Five Lakes Centre, Fairmont, MN 56031 2006-08-31
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1457872376 Michele R Lilley Nurse Practitioner 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 2017-06-30
1881124428 Kristen Cutright Nurse Practitioner 1325 Locust Ave # 32, Fairmont, WV 26554-1435 2017-06-15
1881021459 Traci Layne Tannehill Nurse Practitioner 5 Erwin Ln Ste A, Fairmont, WV 26554-1376 2013-09-27
1205188240 Kelly Jo Hazuka Nurse Practitioner 100 Avery Olivia Way Ste B, Fairmont, WV 26554-9375 2012-10-14
1255633103 Christine Lynn Mott Nurse Practitioner 123 Michael Developement Rd, Fairmont, WV 26554-8637 2010-11-29
1467653139 Mary Patricia Watson Nurse Practitioner 1201 Locust Avenue, Fairmont State University Student Health, Fairmont, WV 26554 2007-05-30
1134124589 Brenda Mercer Allen Nurse Practitioner 1212 S Walnut St, Fairmont, NC 28340-1848 2005-06-14
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Competitor

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City FAIRMONT
Zip Code 56031

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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