Ferguson-Macy, Amanda H

Ferguson-Macy, Amanda H is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Ferguson-Macy, Amanda H can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2477
Phone: (765) 448-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28153028A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 71002781A Indiana

Profile Details

NPI number 1124279575
LBN Legal business name Ferguson-Macy, Amanda H
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2008
Last updated Nov 17th, 2009 - about 15 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 1124279575 NPPES
Indiana Other 000000610507 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200936930 ANTHEM PROVIDER NUMBER

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