Doctor Name: | ERIN LAVETTE FARR |
NPI Number: | 1013372390 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 19749 |
Business Practice Address: | 2780 East Main Street Ltc Health Solutions Spartanburg, SC - 29307 |
Business Phone Number: | 8645797387 |
Business Fax Number: | 8034046000 |
Mailing Address: | 1624 Main Street, Agape Senior Primary Care, Inc., Dba Ltc Health Solutions COLUMBIA |
State: | SC |
Postal Code: | 29201 |
Phone Number: | 8034540365 |
Fax Number: | 8034046000 |
NPI Enumeration Date: | 12/30/2015 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 19749 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |