NPI 1104696830

Chaquetta Monike Farmer

Practitioner Nurse's Aide Hurtsboro, AL

Practice location

Address: 1508 Gregory St, Hurtsboro, AL 36860-2546
Phone: (334) 540-6429
Mailing address: PO Box 164, Hurtsboro, AL 36860-0164

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1104696830
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jan 2024
Record last updated: 5 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.