Individual
THERESA FURNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
340 THOMAS MORE PKWY, STE. 260, CRESTVIEW HILLS, KY 41017-5100
(859) 957-0700
(859) 957-0703
Mailing address
340 THOMAS MORE PKWY, STE. 260, CRESTVIEW HILLS, KY 41017-5100
(859) 957-0700
(859) 957-0703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002531
KY
363LF0000X
Family Nurse Practitioner
3002531
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183292
ANTHEM
KY
05
—
78008752
—
KY
01
—
NP531P
CHOICE CARE
KY
Enumeration date
07/18/2005
Last updated
05/02/2018
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