Most Relevant Information
Provider Data
| NPI Number: | 1003539743 |
| Provider Name: | MATTHEW FARLEY LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 35889 |
Most Important Dates
| Enumeration Date: | 09/19/2022 |
| Last Updated: | 09/19/2022 |
Provider Practice Location
10434 SENECA TRL S
LEWISBURG
WV
249011586
Practice Location Phone/Fax
| Phone: | 3046451706 |
| Fax: |
Provider Mailing Location
10434 SENECA TRL S
LEWISBURG
WV
249011586
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |