Individual
MRS. PHYLLIS A FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9416 271ST ST NW, STANWOOD, WA 98292-8094
(425) 820-2440
Mailing address
PO BOX 2718, STANWOOD, WA 98292-2718
(425) 820-2440
(425) 820-8616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP3001680
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP3001680
WA
Other
Enumeration date
09/14/2006
Last updated
06/19/2023
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