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NPI Code Detail

MEDICARE: MRS. KRISTY D FERGUSON FNP

MEDICARE: MRS. KRISTY D FERGUSON FNP
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 PractitionerAP8876AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568915353
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTY D FERGUSON FNP
Provider Business Mailing Address
First Line : 1951 N WILMOT RD STE 3
Second Line :
City : TUCSON
State : AZ
Zip : 85712-8000
Country : US
Telephone Number : 520-470-0727
Fax Number : 520-492-8281
Provider Business Practice Location Address
First Line : 1951 N WILMOT RD STE 3
Second Line :
City : TUCSON
State : AZ
Zip : 85712-8000
Country : US
Telephone Number : 520-470-0727
Fax Number : 520-492-8281
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2016
Last Update Date : 03/26/2026

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