Faherty, Amber Marie

Faherty, Amber Marie is an individual health care provider with primary practice located at 1370 W D St , North Wilkesboro NC 28659-3506. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Faherty, Amber Marie can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
1370 W D St North Wilkesboro NC 28659-3506
Phone: (336) 716-2255
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3738-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-05142 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA61849 California

Profile Details

NPI number 1568877405
LBN Legal business name Faherty, Amber Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2014
Last updated Nov 30th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568877405 NPPES
Wisconsin MEDICAID 1568877405

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