Individual
MS. CANDACE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
70 CORAL SEA WAY APT 25, SATELLITE BEACH, FL 32937-2256
(719) 680-0094
Mailing address
129 KANSAS AVE, WALSENBURG, CO 81089-1818
(719) 738-5200
(719) 738-2732
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0000488-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07602501
—
CO
Enumeration date
08/01/2006
Last updated
11/11/2023
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