Eileen T Furman, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Eagar, AZ

NPI 1962407676 · NPPES record last updated Oct 29, 2013

Key facts

NPI
1962407676
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN089183 (AZ)
Practice address
606 N Main St
Eagar, AZ 85925-9813
Phone
(928) 333-4660
Fax
(928) 333-5100
NPI assigned
Jun 17, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN089183AZMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN089183 AZ Yes

Addresses

Primary practice location

606 N Main St
Eagar, AZ 85925-9813

Mailing address

606 N Main St
Eagar, AZ 85925-9813
Phone (928) 333-5333

Other identifiers

IdentifierTypeStateIssuer
441866-02MedicaidAZ

Other providers in Eagar, AZ

All providers in Eagar, AZ · Family Nurse Practitioner in Arizona

Sources for this page

Verify at the official NPI Registry.