Individual
MRS. GABRIELLE LYNN FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
263 MEDICAL PARK BLVD, PETERSBURG, VA 23805-0002
(804) 431-1100
(804) 862-1094
Mailing address
7202 GLEN FOREST DR STE 200, RICHMOND, VA 23226-3780
(804) 391-4171
(804) 200-6229
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024188027
VA
Other
Enumeration date
08/09/2023
Last updated
11/14/2024
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