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Individual

KATRINA FARRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-2273
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
818930
TX
171000000X
Military Health Care Provider
APRN11013249
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11013249
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/19/2018
Last updated
06/06/2024
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