Furfaro, Terri Denise

Furfaro, Terri Denise is an individual health care provider with primary practice located at 510 Fullerton Rd , Swansea IL 62226-2970. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Furfaro, Terri Denise can be contacted via phone (618) 233-7666.

Contact Information

Primary practice address
510 Fullerton Rd Swansea IL 62226-2970
Fax: (618) 233-7461
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209005181 Illinois

Profile Details

NPI number 1497732382
LBN Legal business name Furfaro, Terri Denise
Credentials DNP,APN,FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Dec 24th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497732382 NPPES
Illinois Other P00157698 MEDICARE RR PTAN
Illinois MEDICAID 209005181 MEDICARE RR PTAN

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