Ferguson, Lisa Marie

Ferguson, Lisa Marie is an individual health care provider with primary practice located at 7101 Fairway Dr , Palm Beach Gardens FL 33418-3701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ferguson, Lisa Marie can be contacted via phone (561) 515-1500.

Contact Information

Primary practice address
7101 Fairway Dr Palm Beach Gardens FL 33418-3701
Phone: (561) 515-1500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9167524 Florida

Profile Details

NPI number 1861425548
LBN Legal business name Ferguson, Lisa Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Mar 29th, 2018 - about 6 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 1861425548 NPPES
Florida Other G4065 BCBS OF FLORIDA
Florida MEDICAID 307786100 BCBS OF FLORIDA

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