Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 10664 | CA |
Y | 363L00000X | Nurse Practitioner | AP1279 | AZ |
NPI | 1003890765 |
---|---|
Provider Name | Marci Farquhar-Snow |
First Address | Scottsdale, AZ 85259-5404 |
Second Address | Scottsdale, AZ 85259-5452 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2005 |
Last Update Date | 01/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S97290 | (02) |