Individual
HEATHER DALYNN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1140 CHARTER PL, CENTERVILLE, OH 45458-3943
(937) 430-1230
Mailing address
1140 CHARTER PL, CENTERVILLE, OH 45458-3943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.026013
OH
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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