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Individual

BARBARA FARB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2005 MIDWAY RD, MENASHA, WI 54952-7002
(920) 832-8500
(920) 993-2919
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3298
(920) 738-5787

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1040-033
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43897700
WI
Enumeration date
07/16/2006
Last updated
02/29/2012
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