Individual
MR. MARK GORDON FARRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
730 LYONS AVE, CHARLOTTESVILLE, VA 22902-4310
(434) 760-3210
Mailing address
730 LYONS AVE, CHARLOTTESVILLE, VA 22902-4310
(434) 760-3210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001085702
VA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0015000702
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945018
—
VA
05
—
5511071
—
VA
Enumeration date
11/12/2009
Last updated
01/24/2022
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