Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | TA2140 | MD |
NPI | 1013146133 |
---|---|
Provider Name | Dr. Whitney Anne Fahrman |
First Address | Easton, MD 21601-4053 |
Second Address | Easton, MD 21601-4053 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2009 |
Last Update Date | 28/02/2020 |