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Individual

MRS. TERESA W FARLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
1331 BANDERA HWY, SUITE 10, KERRVILLE, TX 78028-9515
(830) 257-1440
(830) 257-2542
Mailing address
1331 BANDERA HWY, SUITE 10, KERRVILLE, TX 78028-9515
(830) 257-1440
(830) 257-2542

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
230898
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1197055071-02
TX
01
230898
NURSING LICENSE
TX
Enumeration date
04/04/2006
Last updated
04/01/2010
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