Ferguson, Victoria

Ferguson, Victoria is an individual health care provider with primary practice located at 1415 North Broad Street Suite 224 Broad Street Health Center, Philadelphia PA 19122-3323. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Ferguson, Victoria can be contacted via phone (215) 235-7944.

Contact Information

Primary practice address
1415 North Broad Street Suite 224 Broad Street Health Center Philadelphia PA 19122-3323
Phone: (215) 235-7944
Fax: (215) 235-3361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW010066 Pennsylvania

Profile Details

NPI number 1457318768
LBN Legal business name Ferguson, Victoria
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 25th, 2013 - about 11 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 1457318768 NPPES
Pennsylvania MEDICAID 101031434

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