Basic Information
| Provider Information | |||||||||
| NPI: | 1184923450 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | FUHRMAN | ||||||||
| FirstName: | ANDREW | ||||||||
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| Credential: | NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 508 UPLAND ST | ||||||||
| Address2: | |||||||||
| City: | KENAI | ||||||||
| State: | AK | ||||||||
| PostalCode: | 996118026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9073357350 | ||||||||
| FaxNumber: | 7575319410 | ||||||||
| Practice Location | |||||||||
| Address1: | 830 KEMPSVILLE RD | ||||||||
| Address2: | SENTARA MEDICAL GROUP | ||||||||
| City: | NORFOLK | ||||||||
| State: | VA | ||||||||
| PostalCode: | 235023920 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7572615283 | ||||||||
| FaxNumber: | 7572615849 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/25/2011 | ||||||||
| LastUpdateDate: | 04/21/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/21/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0024169236 | VA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | 1204 | AK | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.