Individual
TERESA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(469) 450-1860
Mailing address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
647609
TX
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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