Individual provider · Type 1 NPI

Breanna Ferguson

Student in an Organized Health Care Education/Training Program · Woodbridge, VA

NPI number 1164070140 Active

Practice location

13397 Packard Dr
Woodbridge, VA 22193-3901

Call (571) 991-1290 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164070140

Breanna Ferguson's National Provider Identifier is 1164070140, issued on Sep 3, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Woodbridge, VA. The record was last updated on Sep 3, 2019.