Laura Gardner Farrell, RN
Registered Nurse, General Practice in Greensboro, NC. Individual provider (NPI-1).
NPI number1053188466
StatusActive
Last updated in NPPESDec 6, 2023
Details
- NPI
- 1053188466
- Entity type
- Individual (NPI-1)
- Name
- Laura Gardner Farrell
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2023
- Certification date
- Dec 6, 2023
- Last updated
- Dec 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 142860 | NC | Yes |
Practice location
1100 E Wendover AveGreensboro, NC 27405-6713
Phone 336-641-7657
Mailing address
5002 Angler LnGreensboro, NC 27455-3470
Phone 336-202-1877
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