Individual
VICTORIA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1415 NORTH BROAD STREET, SUITE 224 BROAD STREET HEALTH CENTER, PHILADELPHIA, PA 19122-3323
(215) 235-7944
(215) 235-3361
Mailing address
5619-25 VINE STREET, SPECTRUM HEALTH SERVICES, INC., PHILADELPHIA, PA 19139-1302
(215) 471-2761
(215) 471-2929
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW010066
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101031434
—
PA
Enumeration date
04/28/2006
Last updated
07/25/2013
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