MIRIAM E FAHRER


Address: 1815 Edgewood Ave, Burlington, NC 27215-4505
Phone: 8006326074

MIRIAM E FAHRER (NPI# 1528150158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528150158
Entity Type Individual
Full Name MIRIAM E FAHRER
Other Name MIRIAM EDDINS
Credential NP
Practice Address 1815 Edgewood Ave
Burlington
NC 27215-4505
Mailing Address Po Box 10414
Largo
FL 33773-0414
Practice Telephone 8006326074
Practice Fax Number 8663417509
Mailing Telephone 8006326074
Enumeration Date 2006-09-29
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
RN050772 NC Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 6113009 05
NC RR MEDICARE # - PARADIGM P11280560 01

Office Location

Street Address 1815 EDGEWOOD AVE
City BURLINGTON
State NC
Zip Code 27215-4505

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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619174562 Martha Lutenegger Registered Nurse 407 N 4th St, Burlington, IA 52601-5229 2007-07-02
1023180924 Patricia Manion Registered Nurse 300 Flynn Ave, Burlington, VT 05401-5301 2006-11-15

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1891184966 Sheree Lynn Bailey Registered Nurse 4233 Middle Oaks Dr Apt 107, Raleigh, NC 27616-7965 2015-01-13
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City BURLINGTON
Zip Code 27215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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