Fargo, Amy Elizabeth

Fargo, Amy Elizabeth is an individual health care provider with primary practice located at 1309 N Elm St , Greensboro NC 27401-1005. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Fargo, Amy Elizabeth can be contacted via phone (336) 544-5400.

Contact Information

Primary practice address
1309 N Elm St Greensboro NC 27401-1005
Phone: (336) 544-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 5014565 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5014565 North Carolina

Profile Details

NPI number 1578132908
LBN Legal business name Fargo, Amy Elizabeth
Credentials AGNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2021
Last updated Jun 21st, 2021 - about 3 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 1578132908 NPPES
Other AG06210063 AMERICAN ACADEMY OF NURSE PRACTITIONERS
Other 5014565 AMERICAN ACADEMY OF NURSE PRACTITIONERS

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