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NPI Code Detail

MEDICARE: CARMEN FERGUSON

MEDICARE:   CARMEN  FERGUSON
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
1172A00000XDriver
23747P1801XPersonal Care Attendant
3376J00000XHomemaker

General Provider Information

NPI Number : 1063279495
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN FERGUSON
Provider Business Mailing Address
First Line : 3379 HARWINTON LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-4016
Country : US
Telephone Number : 513-519-5142
Fax Number :
Provider Business Practice Location Address
First Line : 3379 HARWINTON LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45248-4016
Country : US
Telephone Number : 513-519-5142
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2024
Last Update Date : 03/04/2024

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Directions to “ CARMEN FERGUSON ” Practice Location

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