Individual
MRS. LERA DIANNA MARCELLE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MN,CNNP,CPNP
Contact information
Practice address
722 STONE AVE, TALLADEGA, AL 35160-2219
(256) 362-1725
Mailing address
722 STONE AVE, TALLADEGA, AL 35160-2219
(256) 362-1725
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-036569
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891017656
—
AL
Enumeration date
04/25/2007
Last updated
07/24/2012
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