NPI 1063061331

Bree Ferguson

Practitioner Medical Physician Assistant Coeur D Alene, ID

Practice location

Address: 700 W Ironwood Dr STE 378, Coeur D Alene, ID 83814-4401
Phone: (208) 625-3555
Fax: (208) 765-1494
Mailing address: 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA-20419 (ID)

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Registry record

NPI: 1063061331
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Sep 2019
Record last updated: 15 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.