Individual
DONNA FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
118 CLARION DR, WHITESBORO, NY 13492-2905
(315) 736-0022
Mailing address
118 CLARION DR, WHITESBORO, NY 13492-2905
(315) 736-0022
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
618129-1
NY
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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