KRYSTAL ALLENE FERGUSON

CAPE GIRARDEAU, MO
NPI1194201525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  20180271114)
Additional Taxonomies163W00000X Registered Nurse
(Licence: MO  2019011936)
163W00000X Registered Nurse
(Licence: TN  208759)
367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  223952)
Enumeration Date2018-07-18
Last Update Date2023-05-03
Business Address
KRYSTAL ALLENE FERGUSON CRNA
1701 LACEY ST
CAPE GIRARDEAU, MO 63701
Phone number: 870-866-5092
Mailing Address
KRYSTAL ALLENE FERGUSON CRNA
PO BOX 1427
MONTICELLO, AR 71657-1427
Phone number: 573-334-4822