Individual
LAURA GARDNER FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-7657
Mailing address
5002 ANGLER LN, GREENSBORO, NC 27455-3470
(336) 202-1877
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
142860
NC
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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