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Individual
STEPHANIE A FERGUSON
Active
Individual
STEPHANIE A FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170185
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144584293
—
VA
Enumeration date
07/03/2012
Last updated
08/09/2012
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