Provider Demographics
NPI:1992432850
Name:FERGUSON, TRUDI-ANN LATOYA (CRNP)
Entity type:Individual
Prefix:
First Name:TRUDI-ANN
Middle Name:LATOYA
Last Name:FERGUSON
Suffix:
Gender:
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4231 N WOODS TRL STE 100
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-3204
Mailing Address - Country:US
Mailing Address - Phone:410-374-9391
Mailing Address - Fax:410-374-1866
Practice Address - Street 1:4231 N WOODS TRL STE 100
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-3204
Practice Address - Country:US
Practice Address - Phone:410-374-9391
Practice Address - Fax:410-374-1866
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-02
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR207997363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily