MEDICARE: NICOLE FERGUSON M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	3998362	AZ

General Provider Information

NPI Number	:	1013208842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE FERGUSON M.A.

Provider Business Mailing Address
First Line	:	2925 E BLACKHAWK DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85050-4721
Country	:	US
Telephone Number	:	480-221-7264
Fax Number	:

Provider Business Practice Location Address
First Line	:	2925 E BLACKHAWK DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85050-4721
Country	:	US
Telephone Number	:	480-221-7264
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2011
Last Update Date	:	04/27/2011

Similar Medicare Providers

1619057692 — MS. JULIE HEISLER
Practice Location Address:

4721 E GATEWOOD RD
PHOENIX, AZ
85050-6153

Practice Phone: 480-502-0211
Practice Fax: 480-502-4489

1396956223 — NOW YOU'RE TALKIN' THERAPY, INC.
Practice Location Address:

4721 E GATEWOOD RD
PHOENIX, AZ
85050-6153

Practice Phone: 480-502-0211
Practice Fax: 480-502-4489

1649506049 — OPHTHALMIC NURSING CARE OF ARIZONA INC.
Practice Location Address:

2202 E BELMONT AVE
PHOENIX, AZ
85020-4721

Practice Phone: 602-279-9657
Practice Fax: 602-285-1518

1285114413 — JASON KLARER LAC
Practice Location Address:

2320 W PEORIA AVE STE A101
PHOENIX, AZ
85029-4721

Practice Phone: 602-600-1871
Practice Fax:

1194728410 — MR. CHAD REILLY MPT
Practice Location Address:

3120 E UNION HILLS DR , STE 202
PHOENIX, AZ
85050-3421

Practice Phone: 602-867-2121
Practice Fax: 602-867-2424

1134122492 — AMY R RAMPLEY D.O.
Practice Location Address:

26224 N. TATUM BLVD. , STE. 1
PHOENIX, AZ
85050

Practice Phone: 480-563-1111
Practice Fax: 480-563-3044

Directions to “ NICOLE FERGUSON M.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.