Fahrer, Miriam E

Fahrer, Miriam E is an individual health care provider with primary practice located at 1815 Edgewood Ave , Burlington NC 27215-4505. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Fahrer, Miriam E can be contacted via phone (800) 632-6074.

Contact Information

Primary practice address
1815 Edgewood Ave Burlington NC 27215-4505
Phone: (800) 632-6074
Fax: (866) 341-7509
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN050772 North Carolina

Profile Details

NPI number 1528150158
LBN Legal business name Fahrer, Miriam E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 9th, 2007 - about 17 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 1528150158 NPPES
North Carolina MEDICAID 6113009
North Carolina Other P11280560

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