Provider Demographics
NPI:1306096458
Name:FERGUSON, TWILA RENEE (RN)
Entity type:Individual
Prefix:MS
First Name:TWILA
Middle Name:RENEE
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2034 WYNDHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607-1371
Mailing Address - Country:US
Mailing Address - Phone:419-537-6570
Mailing Address - Fax:
Practice Address - Street 1:2034 WYNDHURST RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-1371
Practice Address - Country:US
Practice Address - Phone:419-537-6570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 192878163W00000X
OHRN192878163WC1500X, 163WH0200X, 163WM0102X, 163WM0705X, 163WP2201X, 163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient