Individual
MRS. ANA MARIE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
324 4TH ST, MYRTLE POINT, OR 97458
(541) 572-2111
(541) 572-5743
Mailing address
324 4TH ST, MYRTLE POINT, OR 97458
(541) 572-2111
(541) 572-5743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201400072NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
NORTH BEND MEDICAL CENTER GROUP NPI
OR
01
—
161133
NORTH BEND MEDICAL CENTER GROUP MEDICAID
OR
05
—
500675277
—
OR
01
—
P01805331
RAILROAD MEDICARE
OR
01
—
R0000WFBTV
NORTH BEND MEDICAL CENTER GROUP MEDICARE
OR
Enumeration date
04/07/2014
Last updated
04/10/2017
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