Individual
SHARON FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
602 IVY ST, ELMIRA, NY 14905-1646
(607) 737-4577
(607) 737-4271
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
340819
NY
363LG0600X
Gerontology Nurse Practitioner
340819
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03361180
—
NY
05
—
102818092
—
PA
Enumeration date
07/25/2011
Last updated
09/23/2016
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