Individual
CHRISTINA NICHOLE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6220 W MAIN ST STE B, KALAMAZOO, MI 49009-8925
(269) 276-4744
Mailing address
601 JOHN STREET, BOX 39, KALAMAZOO, MI 49007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201607842NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
4704276305
MI
363LF0000X
Family Nurse Practitioner
AP60712606
WA
Other
Enumeration date
10/20/2015
Last updated
09/15/2021
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