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Individual

MS. LOUISA ELIZABETH FARLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
286 US HIGHWAY 23 N, PRESTONSBURG, KY 41653-8732
(606) 871-0032
(606) 874-0817
Mailing address
2550 WINDY HILL RD SE, SUITE 206, MARIETTA, GA 30067-8665
(770) 850-8464
(770) 783-8026

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3006912
KY
363LF0000X
Family Nurse Practitioner
Primary
3006912
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100173190
KY
Enumeration date
06/06/2011
Last updated
09/08/2015
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