Ferguson, Candace

Ferguson, Candace is an individual health care provider with primary practice located at 70 Coral Sea Way Apt 25 , Satellite Beach FL 32937-2256. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ferguson, Candace can be contacted via phone (719) 680-0094.

Contact Information

Primary practice address
70 Coral Sea Way Apt 25 Satellite Beach FL 32937-2256
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0000488-NP Colorado

Profile Details

NPI number 1265449714
LBN Legal business name Ferguson, Candace
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Nov 11th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265449714 NPPES
Colorado MEDICAID 07602501

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