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Individual

JUDY L FARNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1626 MEDICAL CENTER DR STE 400, 4TH FLOOR, EL PASO, TX 79902-5000
(915) 546-9200
(915) 546-9800
Mailing address
1626 MEDICAL CENTER DR STE 400, 4TH FLOOR, EL PASO, TX 79902-5000
(915) 546-9200
(915) 546-9800

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
428622
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116201807
TX
05
188955201
TX
05
188955202
TX
05
188955203
TX
05
45370745
NM
Enumeration date
09/25/2006
Last updated
11/17/2010
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