Individual
LINDSEY M FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2475 VENTURA BLVD, CAMARILLO, CA 93010-6650
(805) 991-0202
Mailing address
10508 SAN BRUNO ST, VENTURA, CA 93004-2996
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95013465
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95013465
CALIFORNIA STATE BOARD OF NURSING
CA
Enumeration date
01/09/2020
Last updated
01/09/2020
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