Guinevere G Ferguson, CNP
Individual provider Active NPI Nurse Practitioner · Streetsboro, OH
NPI 1023375102 · NPPES record last updated Aug 6, 2015
Key facts
- NPI
- 1023375102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN247694CDA1 (OH)
- Practice address
- 9293 State Route 43
Suite B
Streetsboro, OH 44241-5374 - Phone
- (330) 626-1113
- Fax
- (330) 626-1133
- NPI assigned
- Apr 13, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN247694CDA1 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN247694CDA1 | OH | Yes |
Addresses
Primary practice location
9293 State Route 43
Suite B
Streetsboro, OH 44241-5374
Mailing address
9293 State Route 43
Suite B
Streetsboro, OH 44241-5374
Phone (330) 626-1113
Other providers in Streetsboro, OH
- Coletta Esenwein
- Fad Managements LLC
- FC Streetsboro Heights Opco LLC
- David Fejedelem
- Abdelle Ferdinand Cheres
- Michael Ferrara
- FHS Streetsboro, Inc.
- Five Star Export, Inc
- Michelle Ruth Formick
- Fortis Counseling and Consulting, LLC
All providers in Streetsboro, OH · Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.