Individual
L ANN FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
900 17TH STREET, WOODWARD, OK 73801
(580) 254-8694
Mailing address
2818 BLUE SAGE, WOODWARD, OK 73801
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
25761
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100784440A
—
OK
01
—
P01047448
RR MEDICARE
OK
Enumeration date
06/26/2006
Last updated
11/19/2013
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