Individual
TERI ANN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1180 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4800
(760) 994-6764
Mailing address
2090 SAVANNA WAY, PALM SPRINGS, CA 92262-8832
(760) 994-6764
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
3890
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
3890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052455
—
NC
Enumeration date
03/17/2006
Last updated
08/06/2019
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