Individual provider · Type 1 NPI
Maranda Nicole Ferguson
Family Nurse Practitioner · Charleston, SC
NPI number
1093374944
Active
Practice location
171 Ashley Ave
Charleston, SC 29425
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Other practice locations
- 171 Ashley Ave, Charleston, SC 29425 · (843) 792-1414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 21843 (SC) |
| Family Nurse Practitioner Primary | 363LF0000X | 21843 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1093374944
Maranda Nicole Ferguson's National Provider Identifier is 1093374944, issued on Jun 12, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, SC. The record was last updated on Mar 2, 2022.