Provider Demographics
NPI:1033442967
Name:TERRI FARMER PC
Entity Type:Organization
Organization Name:TERRI FARMER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:FARMER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, NURSE PRACTITIO
Authorized Official - Phone:520-405-0106
Mailing Address - Street 1:5370 E. CAMINO FRANCISCO SOZA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5504
Mailing Address - Country:US
Mailing Address - Phone:520-877-3338
Mailing Address - Fax:520-877-3339
Practice Address - Street 1:12450 N. RANCHO VISTOSO BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755
Practice Address - Country:US
Practice Address - Phone:520-877-3338
Practice Address - Fax:520-877-3339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP2131363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty