Individual provider · Type 1 NPI

Liesel La Farge, NP

Pediatric Nurse Practitioner · Nantucket, MA

NPI number 1184307167 Active

Practice location

40 Sherburne Cmns
Nantucket, MA 02554-4451

Mailing address

PO Box 1719
Sandwich, MA 02563-1719

Other practice locations

  • 57 Prospect St, Nantucket, MA 02554-2799 · (508) 825-1000

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN2338728 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1184307167

Liesel La Farge, NP's National Provider Identifier is 1184307167, issued on Aug 8, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Nantucket, MA. The record was last updated on Oct 1, 2026.