Chaquetta Monike Farmer
Nurse's Aide in Hurtsboro, AL. Individual provider (NPI-1).
NPI number1104696830
StatusActive
Last updated in NPPESAug 5, 2024
Details
- NPI
- 1104696830
- Entity type
- Individual (NPI-1)
- Name
- Ms. Chaquetta Monike Farmer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2024
- Certification date
- Aug 5, 2024
- Last updated
- Aug 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | – | – | Yes |
Practice location
1508 Gregory StHurtsboro, AL 36860-2546
Phone 334-540-6429
Mailing address
Po Box 164Hurtsboro, AL 36860-0164
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