AMY ELIZABETH FARGO AGNP-C NPI 1578132908

NPI Information

NPI: 1578132908
Provider Name: AMY ELIZABETH FARGO, AGNP-C
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1309 N ELM ST
GREENSBORO, NC
ZIP 27401
Phone: (336) 544-5400
Get Directions

Amy Elizabeth Fargo, AGNP-C is an adult health nurse practitioner in Greensboro, NC with 3 years of experience. Amy Elizabeth Fargo, AGNP-C NPI is 1578132908. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1309 N ELM ST
GREENSBORO, NC
ZIP 27401-005
Phone: (336) 544-5400

The NPI 1578132908 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2021 and was last updated on 6/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	5014565	NORTH CAROLINA	Yes
2	363LG0600X	Nurse Practitioner	Gerontology	5014565	NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AG06210063	OTHER		AMERICAN ACADEMY OF NURSE PRACTITIONERS
2	5014565	OTHER	NORTH CAROLINA	NORTH CAROLINA BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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