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Organization
PHYLLIS A. FERGUSON ARNP MSN INC PS
Active
Organization
PHYLLIS A. FERGUSON ARNP MSN INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS ANNETTE FERGUSON ARNP (OWNER)
(425) 820-2440
Entity
Organization
Contact information
Practice address
12510 128TH LANE NE, KIRKLAND, WA 98034
(425) 820-2440
(425) 820-8616
Mailing address
12510 128TH LANE NE, KIRKLAND, WA 98034
(425) 820-2440
(425) 820-8616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP 3001680
WA
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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