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Individual

SHARON L FARLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-4000
(423) 224-4746
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10932
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00013869
NHC CARE ADMINISTRATORS
05
010188228
VA
05
100049120
TN
05
3635197
TN
01
4106657
BLUE SHIELD OF TN
01
74010117
KY MEDICAID
KY
01
TN0100
JOHN DEERE
Enumeration date
12/06/2005
Last updated
04/24/2014
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