Healthcare Provider Details

I. General information

NPI: 1992541254
Provider Name (Legal Business Name): CIERRA NICOLE FAUBER-FERRIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2024
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 MERIDIAN ST
LYNCHBURG VA
24502-5225
US

IV. Provider business mailing address

318 MERIDIAN ST
LYNCHBURG VA
24502-5225
US

V. Phone/Fax

Practice location:
  • Phone: 540-292-1919
  • Fax:
Mailing address:
  • Phone: 540-292-1919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number1187003
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number0024196007
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number958036
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: