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Individual
MRS. MARY ANN FERGUSON
Active
Individual
MRS. MARY ANN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP 9359315
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9359315
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009652900
—
FL
01
—
8MWNC
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/23/2013
Last updated
02/21/2024
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