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EILEEN T FURMAN FNP-BC

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1962407676

Individual Registrant:
 EILEEN T FURMAN FNP-BC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
606 N MAIN ST  EAGAR, AZ 85925-9813 US
Tel: 928-333-4660  Fax: 928-333-5100

Contact information for business:
606 N MAIN ST  EAGAR, AZ 85925-9813 US
Tel: 928-333-5333  Fax: --

Registration Information:
NPI: 1962407676
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AZRN089183

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
441866-02AZ05




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