Individual
MS. COLLEEN ELIZABETH FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
394 SINGLETON RIDGE RD, CONWAY, SC 29526-9150
(843) 347-8050
(843) 347-8049
Mailing address
300 SINGLETON RIDGE ROAD, ATTN PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1936
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0873
—
SC
Enumeration date
05/24/2006
Last updated
11/27/2024
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