| Ferguson Aprn Cnp Family Medical, Pllc | |
|
539 Leahy Ave Pawhuska OK 74056-5241 | |
| (918) 287-1100 | |
| (918) 287-1103 |
| Full Name | Ferguson Aprn Cnp Family Medical, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 539 Leahy Ave, Pawhuska, Oklahoma |
| Authorized Official Name and Position | Hester Ferguson (PROVIDER/OWNER) |
| Authorized Official Contact | 9182871100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ferguson Aprn Cnp Family Medical, Pllc 539 Leahy Ave Pawhuska OK 74056-5241 Ph: (918) 287-1100 | Ferguson Aprn Cnp Family Medical, Pllc 539 Leahy Ave Pawhuska OK 74056-5241 Ph: (918) 287-1100 |
| NPI Number | 1790347136 |
|---|---|
| Provider Enumeration Date | 07/06/2019 |
| Last Update Date | 07/06/2019 |
| Medicare PECOS PAC ID | 9032542634 |
|---|---|
| Medicare Enrollment ID | O20191212002668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790347136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Hester I Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104372275 PECOS PAC ID: 5799065827 Enrollment ID: I20161207002009 |
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