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NPI Code Detail

MEDICARE: CHETIA FERRAR ST. JOHN RN,SANE-A,SANE-P

MEDICARE: CHETIA FERRAR ST. JOHN RN,SANE-A,SANE-P
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
1163W00000XRegistered Nurse211658NC

General Provider Information

NPI Number : 1457291650
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHETIA FERRAR ST. JOHN RN,SANE-A,SANE-P
Provider Business Mailing Address
First Line : 2100 STANTONSBURG RD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-2818
Country : US
Telephone Number : 252-847-7653
Fax Number :
Provider Business Practice Location Address
First Line : 2100 STANTONSBURG RD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-2818
Country : US
Telephone Number : 252-847-7653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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