Individual
SUSAN FERGUSON R
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3045 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1552
(614) 268-8800
(614) 268-8249
Mailing address
3045 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1552
(614) 268-8800
(614) 268-8249
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NP02429
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2154994
—
OH
01
—
NP02429
MEDICAL LICENSE
OH
Enumeration date
06/14/2005
Last updated
07/08/2007
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