Individual
MRS. TRISHA LYNN FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP, MS
Contact information
Practice address
955 S BAILEY AVE STE 200, SOUTH HAVEN, MI 49090-6743
(269) 639-2720
Mailing address
1020 11TH AVE, USS RED ROVER BUILDING 1523, GREAT LAKES, IL 60088-3102
(847) 688-5568
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
4704176647
MI
367A00000X
Advanced Practice Midwife
Primary
4704176647
MI
Other
Enumeration date
02/21/2006
Last updated
12/28/2023
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