Provider Demographics
NPI:1104854504
Name:FARRINGER, GINA M (FNP)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:M
Last Name:FARRINGER
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:PO BOX 1985
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-1985
Mailing Address - Country:US
Mailing Address - Phone:919-365-9045
Mailing Address - Fax:919-365-9046
Practice Address - Street 1:2469 WENDELL BLVD
Practice Address - Street 2:
Practice Address - City:WENDELL
Practice Address - State:NC
Practice Address - Zip Code:27591-6903
Practice Address - Country:US
Practice Address - Phone:919-365-9045
Practice Address - Fax:919-365-9046
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201402363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7004042Medicaid
P17105Medicare UPIN
2599393BMedicare PIN