Individual
ANITA B FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3221 32ND AVE S STE 700, GRAND FORKS, ND 58201-6075
(701) 335-4380
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(800) 410-9723
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L6173
ND
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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