Individual
MS. SHARON BLAKENY FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH STREET & CIVIC CENTER BLVD, 2ND FLOOR WOOD BUILDING, PHILADELPHIA, PA 19104
(215) 590-1527
Mailing address
34TH STREET & CIVIC CENTER BLVD, 2ND FLOOR WOOD BUILDING, PHILADELPHIA, PA 19104
(215) 590-1527
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP010783
PA
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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