Individual
SAMANTHA AUGUSTA FARNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1950 CENTER CREEK DR, FAIRMONT, MN 56031-3428
(507) 238-4968
Mailing address
1950 CENTER CREEK DR, FAIRMONT, MN 56031-3428
(507) 238-4968
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP4398
MN
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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