Individual
CHARLOTTE MAE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MA, CNP
Contact information
Practice address
2828 CHICAGO AVE, STE 200, MINNEAPOLIS, MN 55407-1544
(612) 879-1000
(612) 879-9116
Mailing address
2828 CHICAGO AVE, SUITE 200, MINNEAPOLIS, MN 55407-1544
(612) 879-1000
(612) 879-9116
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R0642400
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
697077000
—
MN
Enumeration date
06/21/2005
Last updated
12/14/2009
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