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Individual
SAMANTHA ANNE GAMBLES FARR
Active
Individual
SAMANTHA ANNE GAMBLES FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
641665
CA
363LF0000X
Family Nurse Practitioner
Primary
20147
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20147
FNP FURNISHING NUMBER
CA
Enumeration date
12/26/2008
Last updated
03/07/2023
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