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Individual

MISS ANN MARIE FARRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3461 CIVIC CENTER BLVD, PHILA, PA 19104-4302
(215) 823-5800
Mailing address
4509 RITCHIE ST, PHILADELPHIA, PA 19127-1244
(215) 823-5800
(215) 823-4502

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
VP005062C
PA

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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