MEDICARE: MRS. ELIZABETH MAE FERRARO APRN

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	363LG0600X	Gerontology Nurse Practitioner	2920	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649570961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH MAE FERRARO APRN

Provider Business Mailing Address
First Line	:	106 CAPTAIN JOHNSONS DR
Second Line	:
City	:	NORTH AUGUSTA
State	:	SC
Zip	:	29860-7599
Country	:	US
Telephone Number	:	732-600-2456
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 CAPTAIN JOHNSONS DR
Second Line	:
City	:	NORTH AUGUSTA
State	:	SC
Zip	:	29860-7599
Country	:	US
Telephone Number	:	732-600-2456
Fax Number	:

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

Provider Enumeration Date	:	11/02/2010
Last Update Date	:	06/17/2023

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