Organization
PHYLLIS A. FERGUSON ARNP MSN INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS ANNETTE FERGUSON ARNP (OWNER)
(425) 820-2440
Entity
Organization
Contact information
Practice address
12510 128TH LANE NE, KIRKLAND, WA 98034
(425) 820-2440
(425) 820-8616
Mailing address
12510 128TH LANE NE, KIRKLAND, WA 98034
(425) 820-2440
(425) 820-8616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP 3001680
WA
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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