Individual
TANDA M FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3909 CREEKSIDE LOOP, SUITE 130, YAKIMA, WA 98902-4880
(509) 248-6616
(509) 248-4983
Mailing address
PO BOX 2947, YAKIMA, WA 98907-2947
(509) 248-7849
(509) 249-5042
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006204
WA
Other
Enumeration date
07/26/2006
Last updated
12/03/2007
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