Individual
MRS. KAYLA ANN FURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPC-NP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 443-3886
(774) 443-3913
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2284813
MA
363LA2200X
Adult Health Nurse Practitioner
RN2284813
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102088A
—
MA
Enumeration date
02/14/2015
Last updated
10/27/2021
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