| Doctor Name: | MRS. MARIANNE M FERGUSON |
| NPI Number: | 1023196441 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNMSNP |
| License Number: | F4200441 |
| Business Practice Address: | 764 West Genesee St Skaneateles, NY - 13152 |
| Business Phone Number: | 3156851691 |
| Business Fax Number: | 3156851695 |
| Mailing Address: | 764 West Genesee St, SKANEATELES |
| State: | NY |
| Postal Code: | 13152 |
| Phone Number: | 3156851691 |
| Fax Number: | 3156851695 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | F4200441 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |