Doctor Name: | DANIELLE FARRIS |
NPI Number: | 1023490125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, NP, PMHNP |
License Number: | 95002506 |
Business Practice Address: | 1660 Humboldt Rd Suite 3 Chico, CA - 959289199 |
Business Phone Number: | 5308993370 |
Business Fax Number: | |
Mailing Address: | 1660 Humboldt Rd, Suite 3 CHICO |
State: | CA |
Postal Code: | 959289199 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/24/2015 |
NPI Last Update Date: | 06/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 95002506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |