Shortridge, Amy Parr
Shortridge, Amy Parr is an sole proprietor health care provider with primary practice located at 111 E Third Ave , Gastonia NC 28052-4343. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shortridge, Amy Parr can be contacted via phone (704) 874-3300.Contact Information
Primary practice address
111 E Third Ave
Gastonia NC 28052-4343
Phone: (704) 874-3300
Fax: (704) 874-0065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 50-03928 | North Carolina |
Profile Details
| NPI number | 1457522252 |
|---|---|
| LBN Legal business name | Shortridge, Amy Parr |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2008 |
| Last updated | Nov 4th, 2019 - about 5 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 | 1457522252 | NPPES |
| North Carolina | MEDICAID | 7004138 |
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