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NPI Code Detail

MEDICARE: ALYSSA FERENCE PA-C

MEDICARE: ALYSSA FERENCE PA-C
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
1363A00000XPhysician AssistantNC

General Provider Information

NPI Number : 1134082910
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA FERENCE PA-C
Provider Business Mailing Address
First Line : 3500 BUSH ST
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7509
Country : US
Telephone Number : 919-875-8150
Fax Number :
Provider Business Practice Location Address
First Line : 3500 BUSH ST
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7509
Country : US
Telephone Number : 919-875-8150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ ALYSSA FERENCE PA-C” Practice Location

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