Mergy, Kelly Fogarty
Mergy, Kelly Fogarty is an individual health care provider with primary practice located at 1235 Ramsey St , Fayetteville NC 28301-4401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mergy, Kelly Fogarty can be contacted via phone (910) 433-3704.Contact Information
Primary practice address
1235 Ramsey St
Fayetteville NC 28301-4401
Phone: (910) 433-3704
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 940034 | North Carolina |
Profile Details
| NPI number | 1306846191 |
|---|---|
| LBN Legal business name | Mergy, Kelly Fogarty |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Nov 2nd, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306846191 | NPPES |
| North Carolina | MEDICAID | 7000948 |
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