JACOB RICHARD FARRELL

SUN CITY, AZ
NPI1922891894
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  251095)
Enumeration Date2025-05-23
Last Update Date2025-08-04
Business Address
JACOB RICHARD FARRELL DNAP, CRNA
10401 W THUNDERBIRD BLVD
SUN CITY, AZ 85351-3004
Phone number: 630-240-3186
Mailing Address
JACOB RICHARD FARRELL DNAP, CRNA
25111 N 21ST AVE UNIT 142
PHOENIX, AZ 85085-0060
Phone number: 630-240-3186