Individual
BREE BANEY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 381-6672
Mailing address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 381-6672
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
344868
OH
Other
Enumeration date
11/07/2016
Last updated
10/16/2019
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