Individual
ERIN ELIZABETH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Mailing address
8925 HAAS DR, FORT WORTH, TX 76244-9126
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
914689
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1149099
TX
Other
Enumeration date
11/07/2023
Last updated
02/06/2024
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