Healthcare Provider Details

I. General information

NPI: 1053585141
Provider Name (Legal Business Name): NANCY LOUISE FERREL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2008
Last Update Date: 03/05/2020
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44900 60TH ST W
LANCASTER CA
93536-7618
US

IV. Provider business mailing address

PO BOX 255228
SACRAMENTO CA
95865-5228
US

V. Phone/Fax

Practice location:
  • Phone: 661-948-8581
  • Fax: 661-945-8470
Mailing address:
  • Phone: 855-771-0335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberG46664
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: