Individual
MRS. ASHLEY MARIE FARGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(800) 826-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F312467-01
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
95038113
CA
Other
Enumeration date
10/27/2025
Last updated
02/06/2026
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