NPI Profile for AMANDA H FERGUSON MACY in LAFAYETTE, IN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal, Critical Care |
363LN0005X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1124279575 |
|
| Status | Active | |
| Credentials | NNP | |
| Entity | Individual | |
| Enumeration date | 10/03/2008 | |
| Last updated | 11/17/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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