Ferguson, Mandy Miller
Ferguson, Mandy Miller is an individual health care provider with primary practice located at 4132 Hickory Blvd , Granite Falls NC 28630-8371. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ferguson, Mandy Miller can be contacted via phone (828) 396-3168.Contact Information
Primary practice address
4132 Hickory Blvd
Granite Falls NC 28630-8371
Phone: (828) 396-3168
Fax: (828) 396-8783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5005496 | North Carolina |
Profile Details
| NPI number | 1760754881 |
|---|---|
| LBN Legal business name | Ferguson, Mandy Miller |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2012 |
| Last updated | Sep 10th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760754881 | NPPES |
| North Carolina | Other | 176P7 | BCBS |
| North Carolina | MEDICAID | 7006068 | BCBS |
| North Carolina | MEDICAID | 8919642 | BCBS |
| North Carolina | Other | P01157969 | BCBS |
| North Carolina | Other | 022NU | BCBS |
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