Provider Demographics
NPI:1750615951
Name:FARMER, PATRICIA ANNE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANNE
Last Name:FARMER
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10630 E 510 RD
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74019-0326
Mailing Address - Country:US
Mailing Address - Phone:918-342-5437
Mailing Address - Fax:918-342-5488
Practice Address - Street 1:10630 E 510 RD
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74019-0326
Practice Address - Country:US
Practice Address - Phone:918-342-5437
Practice Address - Fax:918-342-5488
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0052799363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics