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Individual
MARY FARRELL
Active
Individual
MARY FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
682979
CA
363L00000X
Nurse Practitioner
19699
CA
367A00000X
Advanced Practice Midwife
Primary
1884
CA
Other
Enumeration date
07/09/2010
Last updated
12/01/2021
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