Doctor Name: | JOAN M FARMER |
NPI Number: | 1104059666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP1482452 |
Business Practice Address: | 521 W State Road 434 Suite 101 Longwood, FL - 327504984 |
Business Phone Number: | 4078305437 |
Business Fax Number: | 4078304907 |
Mailing Address: | Po Box 520879, LONGWOOD |
State: | FL |
Postal Code: | 327520879 |
Phone Number: | 4078305437 |
Fax Number: | 4078304907 |
NPI Enumeration Date: | 09/01/2009 |
NPI Last Update Date: | 09/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | ARNP1482452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |