Individual
ANDREW JOHN FARRAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
2500 W REYNOLDS ST, 208, PONTIAC, IL 61764-9774
(815) 844-2001
Mailing address
515 E CHATHAM ST, METAMORA, IL 61548-7010
(309) 208-6288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.013022
IL
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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