Individual
MRS. MARY ELLEN FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
408 S BEACH BLVD STE 111, ANAHEIM, CA 92804-1866
(714) 826-8800
Mailing address
408 S BEACH BLVD STE 111, ANAHEIM, CA 92804-1866
(714) 826-8800
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95015008
CA
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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