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Contact Information

AMANDA H FERGUSON MACY, NNP
2600 GREENBUSH ST
LAFAYETTE, IN47904-2477
 Phone: 765-448-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for AMANDA H FERGUSON MACY · (Female)

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
  • IN License # 28153028A
  • IN License # 71002781A
  • IN Medicaid 200936930
  • IN Other 000000610507 ANTHEM PROVIDER NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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