Provider Demographics
NPI:1104074103
Name:FERGUSON, JOSHUA AARON (APRN-BC)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:AARON
Last Name:FERGUSON
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Gender:M
Credentials:APRN-BC
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Mailing Address - Street 1:5121 COTTONWOOD ST
Mailing Address - Street 2:RESPIRATORY INTENSIVE CARE UNIT
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-5701
Mailing Address - Country:US
Mailing Address - Phone:801-507-6422
Mailing Address - Fax:801-507-6491
Practice Address - Street 1:5121 COTTONWOOD ST
Practice Address - Street 2:RESPIRATORY INTENSIVE CARE UNIT
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-5701
Practice Address - Country:US
Practice Address - Phone:801-507-6422
Practice Address - Fax:801-507-6491
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
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Provider Licenses
StateLicense IDTaxonomies
UT322521-8900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner