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NPI Code Detail

MEDICARE: STEPHANIE DAWN FERLIC FNP

MEDICARE: STEPHANIE DAWN FERLIC FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner5017015NC

General Provider Information

NPI Number : 1003409277
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE DAWN FERLIC FNP
Provider Business Mailing Address
First Line : 6900 FARMINGDALE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-5551
Country : US
Telephone Number : 704-910-5810
Fax Number :
Provider Business Practice Location Address
First Line : 6900 FARMINGDALE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-5551
Country : US
Telephone Number : 704-910-5810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2021
Last Update Date : 03/21/2024

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