Individual
TERESA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(270) 970-4108
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(270) 970-4108
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
3008058
KY
363LG0600X
Gerontology Nurse Practitioner
RN171650 NP
GA
Other
Enumeration date
12/17/2009
Last updated
06/29/2020
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