Provider Demographics
NPI:1962712455
Name:FERGUSON, MELINDA (CD (DONA), PCD (DONA)
Entity type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:CD (DONA), PCD (DONA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8629 228TH ST SW
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-8457
Mailing Address - Country:US
Mailing Address - Phone:425-876-5049
Mailing Address - Fax:
Practice Address - Street 1:8629 228TH ST SW
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-8457
Practice Address - Country:US
Practice Address - Phone:425-876-5049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula