Active NPIIndividual provider

Liesel La Farge, NP

Nurse Practitioner, Pediatrics in Nantucket, Massachusetts

NPI Number1184307167
Practice location
40 Sherburne Cmns, Nantucket, MA 02554-4451
Fax
—
Last updated
October 1, 2026

Liesel La Farge is a Nurse Practitioner, Pediatrics based in Nantucket, MA. Liesel La Farge practices in Nantucket, MA and has the professional credentials of NP. The NPI Number for Liesel La Farge is 1184307167 and holds a License No. RN2338728 (MA). The current practice location address for Liesel La Farge is 40 Sherburne Cmns, Nantucket, MA 02554-4451 and can be reached out via phone at 774-333-3933.

Provider Profile Details

NPI Number
1184307167
Provider Name
Liesel La Farge
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
40 Sherburne Cmns, Nantucket, MA 02554-4451
Phone Number
774-333-3933
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2023
Last Update Date
October 1, 2026
Certification Date
October 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Sherburne Cmns
Nantucket, MA 02554-4451
Zip
02554-4451
Phone Number
774-333-3933
Nantucket, MA 02554Get directions →

Provider Business Mailing Address Details

Address
Po Box 1719
Sandwich, MA 02563-1719
City
Sandwich
State
MA
Zip
02563-1719

License Information

License Number
RN2338728
License State
MA
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Liesel La Farge, NP?

The NPI number of Liesel La Farge, NP is 1184307167. It was assigned on August 8, 2023 and is currently active in the NPPES registry.

What is the specialty of Liesel La Farge, NP?

Liesel La Farge, NP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number RN2338728.

Where does Liesel La Farge, NP practice?

The practice location is 40 Sherburne Cmns, Nantucket, MA 02554-4451. The office can be reached at 774-333-3933 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184307167 directly on the NPPES registry website.

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