Provider Demographics
NPI:1366808354
Name:FERRAN RN BSN, IXIA (RN)
Entity type:Individual
Prefix:
First Name:IXIA
Middle Name:
Last Name:FERRAN RN BSN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 BENEFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-6813
Mailing Address - Country:US
Mailing Address - Phone:347-992-5104
Mailing Address - Fax:914-739-0235
Practice Address - Street 1:194 BENEFIELD BLVD
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-6813
Practice Address - Country:US
Practice Address - Phone:347-992-5104
Practice Address - Fax:914-739-0235
Is Sole Proprietor?:No
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344848163WA0400X, 163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator