Individual provider · Type 1 NPI

Nicole L. Fergusson, NURSING

Psychiatric/Mental Health Registered Nurse · Salt Lake City, UT

NPI number 1114121167 Active

Practice location

550 W 700 S
Salt Lake City, UT 84101-2227

Mailing address

609 Wilson Ave
Salt Lake City, UT 84105-3007

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X2222843102 (UT)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1114121167

Nicole L. Fergusson, NURSING's National Provider Identifier is 1114121167, issued on Jun 13, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 8, 2007.