Doctor Name: | MS. LINDA FAY FERRAND |
NPI Number: | 1750355293 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | NC 101915 |
Business Practice Address: | 718 W Corbett Ave Swansboro, NC - 285848452 |
Business Phone Number: | 9103265588 |
Business Fax Number: | 9103266923 |
Mailing Address: | 718 W Corbett Ave, SWANSBORO |
State: | NC |
Postal Code: | 285848452 |
Phone Number: | 9103265588 |
Fax Number: | 9103266923 |
NPI Enumeration Date: | 02/13/2006 |
NPI Last Update Date: | 03/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | NC 101915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |