Individual
MARIANN RICHARDS FARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RNC, CNM
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 956-0359
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 956-0359
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN253468
MA
Other
Enumeration date
08/16/2012
Last updated
12/11/2018
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