Individual
MRS. BRIDGETTE DIANE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, CNS
Contact information
Practice address
695 KINKAID RD, ANNAPOLIS, MD 21402-1006
(410) 293-1733
Mailing address
5609 KAVEH CT, UPPER MARLBORO, MD 20772-3681
(757) 553-8897
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R150910
MD
163WP2201X
Ambulatory Care Registered Nurse
R150910
MD
363LC1500X
Community Health Nurse Practitioner
R150910
MD
Other
Enumeration date
01/26/2006
Last updated
02/26/2020
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