Provider Demographics
NPI:1154197218
Name:FURGA-NGAKO, PATRYCJA MONIKA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:PATRYCJA
Middle Name:MONIKA
Last Name:FURGA-NGAKO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:PATRYCJA
Other - Middle Name:MONIKA
Other - Last Name:FURGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12476 N SANDBY GREEN DR
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85653-8970
Mailing Address - Country:US
Mailing Address - Phone:520-829-9852
Mailing Address - Fax:520-395-0348
Practice Address - Street 1:12476 N SANDBY GREEN DR
Practice Address - Street 2:
Practice Address - City:MARANA
Practice Address - State:AZ
Practice Address - Zip Code:85653-8970
Practice Address - Country:US
Practice Address - Phone:520-829-9852
Practice Address - Fax:520-395-0348
Is Sole Proprietor?:No
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ300571363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily