Individual
MONICA C FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
103 GARLAND ST, EVERETT, MA 02149-5066
(781) 729-9426
Mailing address
2 PILGRIM DR, WINCHESTER, MA 01890-3320
(781) 729-9426
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
172250
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0344401
—
MA
Enumeration date
11/02/2007
Last updated
03/26/2012
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