Cynthia Tara Ferguson, PHD CNM MSN MPH

Individual provider Active NPI Advanced Practice Midwife · Palmyra, VA

NPI 1972668879 · NPPES record last updated Dec 26, 2015

Key facts

NPI
1972668879
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
R166099 (MD)
Practice address
180 Middleton Mills LN
Palmyra, VA 22963-5250
Phone
(301) 801-6661
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Certified Nurse Midwife, Master of Science - Nursing, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R166099MDMDAdvanced Practice Midwife
0017142578VAMDAdvanced Practice Midwife
0024128984VAMDAdvanced Practice Midwife

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R166099 MD
Advanced Practice Midwife 367A00000X R166099 MD Yes
Advanced Practice Midwife 367A00000X 0017142578 VA
Advanced Practice Midwife 367A00000X 0024128984 VA

Addresses

Primary practice location

180 Middleton Mills LN
Palmyra, VA 22963-5250

Mailing address

180 Middleton Mills LN
Palmyra, VA 22963-5250
Phone (301) 801-6661

Other providers in Palmyra, VA

All providers in Palmyra, VA · Advanced Practice Midwife in Virginia

Sources for this page

Verify at the official NPI Registry.