Individual
ANDREA FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7800
Mailing address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7800
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
210755
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588141741
—
UT
Enumeration date
07/20/2018
Last updated
09/22/2025
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