Individual
ILANA LYNN FARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN
Contact information
Practice address
2603 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-5110
(651) 600-3035
(651) 348-8783
Mailing address
14405 8TH AVE N, PLYMOUTH, MN 55447-4456
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R1578667
MN
363LW0102X
Women's Health Nurse Practitioner
Primary
R1578667
MN
Other
Enumeration date
11/11/2014
Last updated
09/29/2017
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