Farrell, Lawanna Gale
Farrell, Lawanna Gale is an individual health care provider with primary practice located at 2823 Fresno St , Fresno CA 93721-1324. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Farrell, Lawanna Gale can be contacted via phone (559) 499-6440.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 384314 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 17697 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 17697 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 15250 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 15250 | California |
Profile Details
| NPI number | 1073684270 |
|---|---|
| LBN Legal business name | Farrell, Lawanna Gale |
| Credentials | FNP, PA-C, MSN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2006 |
| Last updated | Jan 28th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073684270 | NPPES |
| California | MEDICAID | PA17697 |
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