Ilene Elizabeth Ferguson
Nurse's Aide in Valrico, FL. Individual provider (NPI-1).
NPI number1952526907
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1952526907
- Entity type
- Individual (NPI-1)
- Name
- Ilene Elizabeth Ferguson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | 99468 | FL | Yes |
Practice location
1925 Brandon Brook RdValrico, FL 33594-3025
Phone 813-662-6858 · Fax 813-662-6858
Mailing address
1925 Brandon Brook RdValrico, FL 33954-3025
Phone 813-662-6858 · Fax 813-662-6858
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