Healthcare Provider Details

I. General information

NPI: 1033074877
Provider Name (Legal Business Name): FAIRVIEW URGENT CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1185 CHARLOTTE HWY STE G
FAIRVIEW NC
28730-7783
US

IV. Provider business mailing address

1229 BRUSH CREEK CIR
FAIRVIEW NC
28730-9774
US

V. Phone/Fax

Practice location:
  • Phone: 828-713-8907
  • Fax:
Mailing address:
  • Phone: 828-713-8907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DANA L BOGGS
Title or Position: OWNER, FNP
Credential: FNP
Phone: 828-713-8907