Provider Demographics
NPI:1083740609
Name:FARRAR, GINA IRENE (RN)
Entity Type:Individual
Prefix:MISS
First Name:GINA
Middle Name:IRENE
Last Name:FARRAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 WESTWIND DR
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-1939
Mailing Address - Country:US
Mailing Address - Phone:214-538-1915
Mailing Address - Fax:
Practice Address - Street 1:2611 WESTWIND DR
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-1939
Practice Address - Country:US
Practice Address - Phone:214-538-1915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX547306163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse