Individual
CAROLE FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
100 VETERANS WAY, EGLIN AFB, FL 32542-1038
(850) 609-2753
Mailing address
1333 WINDWARD CIR, NICEVILLE, FL 32578-4310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9417994
FL
363LA2100X
Acute Care Nurse Practitioner
ARNP9417994
FL
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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