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MS. CANDACE ANNE FERGUSON NP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1265449714
Individual Registrant:MS. CANDACE ANNE FERGUSON NP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
129 KANSAS AVE WALSENBURG, CO 81089-1818 US
Tel: 719-738-5200 Fax: 719-738-2732
Tel: 719-738-5200 Fax: 719-738-2732
Contact information for business:
129 KANSAS AVE WALSENBURG, CO 81089-1818 US
Tel: 719-738-5200 Fax: 719-738-2732
Tel: 719-738-5200 Fax: 719-738-2732
Registration Information:
NPI: 1265449714
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | CO | APN.0000488-NP |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 07602501 | CO | 05 |
