Provider Demographics
NPI:1083635460
Name:FERRARY, ELAINE MARY (FNP)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:MARY
Last Name:FERRARY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9498 CHARTER GATE DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-5171
Mailing Address - Country:US
Mailing Address - Phone:804-267-2986
Mailing Address - Fax:804-553-3337
Practice Address - Street 1:9498 CHARTER GATE DR
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-5171
Practice Address - Country:US
Practice Address - Phone:804-267-2986
Practice Address - Fax:804-553-3337
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024088683363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily