MEDICARE: NEDA YOLANDA FARMER 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
1	363L00000X	Nurse Practitioner	5005022	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00444669	OTHER	NC	RAILROAD MEDICARE PTAN
3	NC8011B	OTHER	NC	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	2595202	OTHER	NC	CIGNA PTAN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083911788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEDA YOLANDA FARMER FNP

Provider Business Mailing Address
First Line	:	6700 ALBEMARLE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-3856
Country	:	US
Telephone Number	:	704-921-1000
Fax Number	:	704-921-1022

Provider Business Practice Location Address
First Line	:	6700 ALBEMARLE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-3856
Country	:	US
Telephone Number	:	704-921-1000
Fax Number	:	704-921-1022

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2011
Last Update Date	:	02/16/2017

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