Provider Demographics
NPI:1871158048
Name:FERGUSON, RHIANNON
Entity type:Individual
Prefix:MS
First Name:RHIANNON
Middle Name:
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RHIANNON
Other - Middle Name:
Other - Last Name:PETERSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9711 NE 2ND PL
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-3509
Mailing Address - Country:US
Mailing Address - Phone:405-501-8364
Mailing Address - Fax:
Practice Address - Street 1:9711 NE 2ND PL
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-3509
Practice Address - Country:US
Practice Address - Phone:405-501-8364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management