Provider Demographics
NPI:1043402928
Name:FARLEY, DAVID SCOTT (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:SCOTT
Last Name:FARLEY
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Gender:M
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:1650 COCHRANE CIR
Mailing Address - Street 2:REYNOLDS ARMY COMMUNITY HOSPITAL (ATTN: MS PRESCOTT)
Mailing Address - City:FT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-4613
Mailing Address - Country:US
Mailing Address - Phone:719-526-0502
Mailing Address - Fax:719-526-7132
Practice Address - Street 1:1650 COCHRANE CIR
Practice Address - Street 2:REYNOLDS ARMY COMMUNITY HOSPITAL (ATTN: MS PRESCOTT)
Practice Address - City:FT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4613
Practice Address - Country:US
Practice Address - Phone:719-526-0502
Practice Address - Fax:719-526-7132
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2014-10-06
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Provider Licenses
StateLicense IDTaxonomies
NY467826363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily