Doctor Name: | MRS. BRENNA G FERGUSON |
NPI Number: | 1033409925 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 636057 |
Business Practice Address: | 5804 Meadow Breeze Ln Rosharon, TX - 775832072 |
Business Phone Number: | 8326216003 |
Business Fax Number: | 2819729662 |
Mailing Address: | 5804 Meadow Breeze Ln, ROSHARON |
State: | TX |
Postal Code: | 775832072 |
Phone Number: | 8326216003 |
Fax Number: | 2819729662 |
NPI Enumeration Date: | 04/12/2011 |
NPI Last Update Date: | 04/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 376G00000X |
License Number: | 636057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Nursing Home Administrator |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual, often licensed by the state, who is responsible for the management of a nursing home. |