Individual
KARRIE FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
532 DYCKMAN AVE, UNIT A, SOUTH HAVEN, MI 49090-2509
(269) 639-7323
Mailing address
532 DYCKMAN AVE, UNIT A, SOUTH HAVEN, MI 49090-2509
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704225376
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704225376
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
08/14/2015
Last updated
08/14/2015
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