Individual
MS. CYNTHIA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
86036
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00655181
RR MEDICARE
NC
Enumeration date
03/28/2006
Last updated
06/05/2014
Update your record
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