Doctor Name: | JULIE FERGUSON |
NPI Number: | 1255748554 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN BSN |
License Number: | RN00133831 |
Business Practice Address: | 171 Wishpoosh Rd # 28 Toppenish, WA - 98948 |
Business Phone Number: | 5098657965 |
Business Fax Number: | 5098652195 |
Mailing Address: | 171 Wishpoosh Rd # 28, TOPPENISH |
State: | WA |
Postal Code: | 98948 |
Phone Number: | 5098657965 |
Fax Number: | 5098652195 |
NPI Enumeration Date: | 07/18/2014 |
NPI Last Update Date: | 07/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | RN00133831 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |