Individual
ELANA NICOLE COHEN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2006 BREMO RD, RICHMOND, VA 23226-2438
(804) 288-1881
Mailing address
2214 FOXBOROUGH DR, RICHMOND, VA 23238-3011
(804) 370-8812
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0001235381
VA
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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