| Doctor Name: | SUSAN E. FARMER |
| NPI Number: | 1669511440 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | RN268048 |
| Business Practice Address: | 11395 State Route 104 Lot 32 Lucasville, OH - 456488014 |
| Business Phone Number: | 7402599515 |
| Business Fax Number: | |
| Mailing Address: | 11395 State Route 104, Lot 32 LUCASVILLE |
| State: | OH |
| Postal Code: | 456488014 |
| Phone Number: | 7402599515 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | RN268048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |