Individual
MARIA A FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, MSN, ACNP-BC
Contact information
Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 433-7351
Mailing address
2422 FERN AVE, WAVERLY, IA 50677-9242
(319) 939-4907
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
L093946
IA
363LA2100X
Acute Care Nurse Practitioner
Primary
L093946
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427204577
BLUE SHIELD
IA
Enumeration date
08/08/2008
Last updated
10/26/2020
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