Provider Demographics
NPI:1467741702
Name:FARMAND, MARY J (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:J
Last Name:FARMAND
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 1:14346 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4049
Mailing Address - Country:US
Mailing Address - Phone:314-616-6354
Mailing Address - Fax:636-207-8244
Practice Address - Street 1:14346 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MO
Practice Address - Zip Code:63011-4049
Practice Address - Country:US
Practice Address - Phone:314-616-6354
Practice Address - Fax:636-207-8244
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker