Individual
KATHERINE LOUISE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
402 LAKE CASCADE PKWY, CASCADE, ID 83611-7702
(208) 382-4285
(208) 382-5081
Mailing address
PO BOX 1330, CASCADE, ID 83611-1330
(208) 382-4285
(208) 382-5081
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
69770
ID
Other
Enumeration date
10/06/2021
Last updated
03/10/2025
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