Provider Demographics
NPI:1861172751
Name:FARAH, ANAB
Entity type:Individual
Prefix:
First Name:ANAB
Middle Name:
Last Name:FARAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 42ND AVE W UNIT C
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-8865
Mailing Address - Country:US
Mailing Address - Phone:701-729-2130
Mailing Address - Fax:
Practice Address - Street 1:1216 42ND AVE W UNIT C
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-8865
Practice Address - Country:US
Practice Address - Phone:701-729-2130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care