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Individual

MRS. ANNE MARIE FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
19550 E 39TH ST S STE 200, INDEPENDENCE, MO 64057-2358
(816) 350-4200
Mailing address
19550 E 39TH ST S STE 200, INDEPENDENCE, MO 64057-2358
(816) 350-4200

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-148222-021
KS
163W00000X
Registered Nurse
2011023599
MO
363LF0000X
Family Nurse Practitioner
Primary
2019007201
MO

Other

Enumeration date
04/09/2019
Last updated
01/21/2022
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