Healthcare Provider Details

I. General information

NPI: 1376041525
Provider Name (Legal Business Name): ERIN ELIZABETH FERRANTE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2018
Last Update Date: 06/01/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 W HENDERSON ST STE 110
SALISBURY NC
28144-2700
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 704-633-9441
  • Fax: 704-637-9006
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-07821
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: