Individual
CHERIE MARIE FARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 N UNIVERSITY AVE STE 210, PROVO, UT 84604-2721
(801) 373-8930
(801) 377-6811
Mailing address
1355 N UNIVERSITY AVE STE 210, PROVO, UT 84604-2721
(801) 373-8930
(801) 377-6811
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
47252194408
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870549057
—
UT
Enumeration date
10/13/2009
Last updated
10/13/2009
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