Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 0024180230 | VA |
NPI | 1104411636 |
---|---|
Provider Name | Mrs. Heather Turpin Farmer |
First Address | Rustburg, VA 24588-3255 |
Second Address | Richmond, VA 23298-5071 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2021 |
Last Update Date | 09/03/2021 |