Farrelly, Sandra R

Farrelly, Sandra R is an individual health care provider with primary practice located at 196 S Trade St , Matthews NC 28105-5772. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Farrelly, Sandra R can be contacted via phone (704) 841-8882.

Contact Information

Primary practice address
196 S Trade St Matthews NC 28105-5772
Phone: (704) 841-8882
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 75437 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5004023 North Carolina

Profile Details

NPI number 1699933309
LBN Legal business name Farrelly, Sandra R
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Sep 27th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699933309 NPPES
North Carolina MEDICAID 7004174
North Carolina MEDICAID NP1263

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