Individual
VICKIE J FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1216 56TH ST, WEST DES MOINES, IA 50266-6361
(515) 222-9093
Mailing address
1216 56TH ST, WEST DES MOINES, IA 50266-6361
(515) 222-9093
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D-058959
IA
Other
Enumeration date
09/30/2005
Last updated
02/15/2008
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