Individual
ANDREA LEIGH FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24654 N LAKE PLEASANT PKWY STE 103-715, PEORIA, AZ 85383-1359
(623) 399-9891
Mailing address
24654 N LAKE PLEASANT PKWY STE 103-715, PEORIA, AZ 85383-1359
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN124247
AZ
363LF0000X
Family Nurse Practitioner
Primary
219370
AZ
Other
Enumeration date
07/18/2018
Last updated
05/12/2020
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