Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FARAH OCTAVIEN, AGNP
Active Sole ProprietorFARAH OCTAVIEN, AGNP is a Gerontological Clinical Nurse Specialist healthcare provider located in ELLENWOOD, Georgia. NPI 1629629613 is currently active in the NPPES registry. Verify at CMS.
Gerontological Clinical Nurse Specialist · ELLENWOOD, GA
Registration Details
- NPI Number
- 1629629613
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2019 (6.8508883527758 yrs)
- Last Updated
- Sep 22, 2019
- License
-
AG03190021 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2873 VILLAGE PARK DR EELLENWOOD, GA, 302945712Browse GA providers · Browse ZIP 30294
- Phone
- 6785710918
- Primary Specialty
-
Gerontological Clinical Nurse Specialist
364SG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.