MARANDA NICOLE FERGUSON

CHARLESTON, SC
NPI1093374944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  21843)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: SC  21843)
Enumeration Date2019-06-12
Last Update Date2022-03-02
Business Address
MARANDA NICOLE FERGUSON
171 ASHLEY AVE
CHARLESTON, SC 29425
Phone number: 843-792-1414
Mailing Address
MARANDA NICOLE FERGUSON
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200