Individual
RAUCHEL CHELAN FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 N STOCKTON HILL RD STE 100, KINGMAN, AZ 86401-4622
(928) 681-8706
(928) 681-8707
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 263-4722
(928) 263-4794
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10290
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283453
—
AZ
Enumeration date
06/26/2017
Last updated
12/23/2021
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