Provider Demographics
NPI:1063293769
Name:DEVILLE, FARRAH
Entity type:Individual
Prefix:MRS
First Name:FARRAH
Middle Name:
Last Name:DEVILLE
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 1:1645 GEORGE DR
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-7009
Mailing Address - Country:US
Mailing Address - Phone:337-781-6427
Mailing Address - Fax:
Practice Address - Street 1:1645 GEORGE DR
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-7009
Practice Address - Country:US
Practice Address - Phone:337-781-6427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No171400000XOther Service ProvidersHealth & Wellness Coach
No332H00000XSuppliersEyewear Supplier
No374J00000XNursing Service Related ProvidersDoula