DIANE LESLIE FERGUSON NP
NPI 1831521608
Nurse Practitioner in Ann Arbor, MI

Q: What is Diane Ferguson's NPI number?

The NPI number for Diane Ferguson is 1831521608. It was assigned to this individual provider in the NPPES registry on August 5, 2013. The provider is also known as Diane Leslie Ferguson.

Q: What is Diane Ferguson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Diane Ferguson was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 05, 2013

4260 PLYMOUTH RD, ANN ARBOR, MI 48109(734) 764-6831 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Diane Leslie Ferguson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE LESLIE FERGUSON NP (NPI 1831521608) is an individual nurse practitioner in Ann Arbor, Michigan, licensed in Michigan (4704191140) and active in the NPI registry since August 2013. She maintains a secondary practice location in Dearborn.

NPPES Registry Identity

NPI1831521608

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDIANE LESLIE FERGUSONCredential: NP

Location Address4260 PLYMOUTH RDAnn Arbor, MI 48109-2700

Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299

Phone(734) 764-6831

Sole ProprietorNo

Enumeration DateAugust 5, 2013

Last NPPES UpdateJanuary 8, 2019

✔ NPI 1831521608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704191140

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4260 PLYMOUTH RD, Ann Arbor, MI 48109

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Other Names 1

Former Name (1)Diane Leslie Ferguson

Secondary Practice Location 1

Location 11213 Mason StDearborn, MI 48124-2841 · Phone (313) 278-2800 · Fax (313) 278-0030

Other Identifiers 1

Medicaid487020310MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NINA K BIBICOFF NP

Nurse Practitioner