IndividualActive
A. Ferguson, PA-C
NPI 1750390902 · Physician Assistant · Fort Wayne, IN
Provider details
- NPI number
- 1750390902
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10000621A (IN)
Practice location
5650 Coventry Ln
Fort Wayne, IN 46804-7140
Phone: (260) 436-9696
Fax: (888) 370-2203
Mailing address
5650 Coventry Ln
Fort Wayne, IN 46804-7140
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2022-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.