Provider Demographics
NPI:1932556388
Name:FARVE, TRANCA
Entity Type:Individual
Prefix:MS
First Name:TRANCA
Middle Name:
Last Name:FARVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12400 JEFFERSON HWY
Mailing Address - Street 2:1315
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6210
Mailing Address - Country:US
Mailing Address - Phone:225-439-4047
Mailing Address - Fax:
Practice Address - Street 1:12400 JEFFERSON HWY
Practice Address - Street 2:1315
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-6210
Practice Address - Country:US
Practice Address - Phone:225-439-4047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-16
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA20120533164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse