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NPI Code Detail

MEDICARE: MS. LAURA PAIGE FARRIS CRNP

MEDICARE: MS. LAURA PAIGE FARRIS CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1-10256AL

General Provider Information

NPI Number : 1003242678
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA PAIGE FARRIS CRNP
Provider Business Mailing Address
First Line : 125 20TH ST. SOUTH SUITE 103
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35233
Country : US
Telephone Number : 205-801-5251
Fax Number :
Provider Business Practice Location Address
First Line : 1508 COGSWELL AVE
Second Line :
City : PELL CITY
State : AL
Zip : 35125-1243
Country : US
Telephone Number : 205-814-1526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2013
Last Update Date : 08/05/2016

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