| NPI | 1174158638 |
|---|---|
| Other Name | SHANANAE FERGUSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK F02200717) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 102530) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2023-11-20 |