Doctor Name: | MRS. SHERI LYNN FERGUSON |
NPI Number: | 1295798288 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 28089745A |
Business Practice Address: | Dr. Mary E. Walker Center Bldg 170 Fort Irwin, CA - 92310 |
Business Phone Number: | 7603807475 |
Business Fax Number: | |
Mailing Address: | 4035 Alvord Dr, FORT IRWIN |
State: | CA |
Postal Code: | 923101531 |
Phone Number: | 7603807475 |
Fax Number: | 7603807349 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WA2000X |
License Number: | 28089745A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Administrator |
Taxonomy Definition: |