# PHYLLIS A. FERGUSON ARNP MSN INC PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346496080
- **Authorized official:** PHYLLIS ANNETTE FERGUSON ARNP (OWNER)
- **Authorized official phone:** (425) 820-2440

## Contact information

- **Practice address:** 12510 128TH LANE NE, KIRKLAND, WA 98034
- **Practice address phone:** (425) 820-2440
- **Practice address fax:** (425) 820-8616
- **Mailing address:** 12510 128TH LANE NE, KIRKLAND, WA 98034
- **Mailing address phone:** (425) 820-2440
- **Mailing address fax:** (425) 820-8616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP 3001680 | WA | Yes |

## Other

- **Enumeration date:** 08/13/2008
- **Last updated:** 08/13/2008