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Individual

SUSAN NAST FARRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.N.M.

Contact information

Practice address
770 HOST RD, WOMELSDORF, PA 19567-9100
(717) 933-9743
Mailing address
770 HOST RD, WOMELSDORF, PA 19567-9100
(717) 933-9743

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
SP010234
PA
367A00000X
Advanced Practice Midwife
Primary
MW010099
PA

Other

Enumeration date
05/03/2006
Last updated
08/23/2010
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