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NPI Code Detail

MEDICARE: MELISSA ANN FERGUSON APRN

MEDICARE: MELISSA ANN FERGUSON APRN
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
1363LF0000XFamily Nurse Practitioner5375772102KS

General Provider Information

NPI Number : 1376895318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANN FERGUSON APRN
Provider Business Mailing Address
First Line : 3211 S IOWA ST STE 100
Second Line :
City : LAWRENCE
State : KS
Zip : 66046-5238
Country : US
Telephone Number : 785-505-5475
Fax Number : 785-505-5326
Provider Business Practice Location Address
First Line : 3211 S IOWA ST STE 100
Second Line :
City : LAWRENCE
State : KS
Zip : 66046-5238
Country : US
Telephone Number : 785-505-5475
Fax Number : 785-505-5326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2012
Last Update Date : 12/01/2020

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Directions to “ MELISSA ANN FERGUSON APRN” Practice Location

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