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Individual

CARRIE MARIE FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, FNP-BC

Contact information

Practice address
4863 N NEVADA AVE STE 250, COLORADO SPRINGS, CO 80918-3951
(210) 771-3642
Mailing address
4863 N NEVADA AVE STE 250, COLORADO SPRINGS, CO 80918-3951
(210) 771-3642

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
879355
NV
363LF0000X
Family Nurse Practitioner
AP134455
TX
363LF0000X
Family Nurse Practitioner
AP61519165
WA
363LF0000X
Family Nurse Practitioner
Primary
APN.0999329
CO
363LF0000X
Family Nurse Practitioner
TELE309270
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000163721
TX
Enumeration date
03/08/2017
Last updated
11/06/2024
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