Individual
CAROLYN A FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2200 H ST, FAIRBURY, NE 68352-1119
(402) 729-3351
(402) 729-2102
Mailing address
PO BOX 277, FAIRBURY, NE 68352-0277
(402) 729-3351
(402) 729-2102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95004452
CA
Other
Enumeration date
07/19/2016
Last updated
10/06/2021
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