Individual
KIMBERLY FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
9157 ATLEE RD, STE A, MECHANICSVILLE, VA 23116-2504
(804) 991-4197
(804) 723-5421
Mailing address
9821 TARTUFFE DR, RICHMOND, VA 23238-4932
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024175130
VA
Other
Enumeration date
09/06/2017
Last updated
05/10/2021
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