Individual
ANTHONY P FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NPC
Contact information
Practice address
1821 W MAIN ST, RICHMOND, IN 47374-3821
(765) 200-8008
(765) 200-8022
Mailing address
1821 W MAIN ST, RICHMOND, IN 47374-3821
(765) 200-8008
(765) 200-8022
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003475A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000689856
ANTHEM
IN
05
—
201004520
—
IN
05
—
3130909
—
OH
Enumeration date
12/07/2010
Last updated
03/22/2024
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