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Individual

PAULA K. FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
115 N.E. OLDTOWN DRIVE, ANADARKO, OK 73005-0828
(405) 247-2458
(405) 247-6653
Mailing address
PO BOX 828, ANADARKO, OK 73005-0828
(405) 247-2458
(405) 247-6653

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R0024910
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
89044
PED NURSING BOARD CERT
OK
01
R0024910
OKLA BOARD OF NURSING
OK
Enumeration date
10/17/2006
Last updated
07/08/2007
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