Individual
SAMANTHA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2100
Mailing address
2648 33RD ST, SPRINGFIELD, OR 97477-1887
(541) 228-5431
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383006
NY
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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