Lera Dianna Marcelle Farmer, RN,MN,CNNP,CPNP
Nurse Practitioner in Talladega, AL. Individual provider (NPI-1).
NPI number1013136290
StatusActive
Last updated in NPPESJul 24, 2012
Details
- NPI
- 1013136290
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lera Dianna Marcelle Farmer
- Credential
- RN,MN,CNNP,CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2007
- Last updated
- Jul 24, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1-036569 | AL | Yes |
Practice location
722 Stone AveTalladega, AL 35160-2219
Phone 256-362-1725
Mailing address
722 Stone AveTalladega, AL 35160-2219
Phone 256-362-1725
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