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Individual

ERIN K FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4444 N 32ND ST, SUITE 175, PHOENIX, AZ 85018-3956
(602) 952-0002
(602) 778-4565
Mailing address
4444 N 32ND ST, SUITE 175, PHOENIX, AZ 85018-3956
(602) 952-0002
(602) 778-4565

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN115235
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN115235
RN LICENSE
AZ
Enumeration date
05/19/2008
Last updated
05/19/2008
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