Provider Demographics
NPI:1114592292
Name:STERGER, FARYAL (APRN, FNP)
Entity type:Individual
Prefix:
First Name:FARYAL
Middle Name:
Last Name:STERGER
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-2410
Mailing Address - Country:US
Mailing Address - Phone:770-479-5535
Mailing Address - Fax:770-720-3294
Practice Address - Street 1:320 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-2410
Practice Address - Country:US
Practice Address - Phone:770-479-5535
Practice Address - Fax:770-720-3294
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN189804363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily