Provider Demographics
NPI:1548529241
Name:FARR, DAVID G (CRNP, RNFA)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:FARR
Suffix:
Gender:M
Credentials:CRNP, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 N 20TH ST
Mailing Address - Street 2:SUITE 19
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-5456
Mailing Address - Country:US
Mailing Address - Phone:334-749-8146
Mailing Address - Fax:334-737-6432
Practice Address - Street 1:121 N 20TH ST
Practice Address - Street 2:SUITE 19
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-5456
Practice Address - Country:US
Practice Address - Phone:334-749-8146
Practice Address - Fax:334-737-6432
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-117250363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care