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NPI Profile for ANDREA L FARRIS in PEORIA, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Registered Nurse First Assistant |
163WR0006X |
| NPI # | 1164908414 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/18/2018 | |
| Last updated | 05/12/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANDREA L FARRIS
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ANDREA L FARRIS