Provider Demographics
NPI:1093273682
Name:FURAR, RENAE (APRN)
Entity Type:Individual
Prefix:
First Name:RENAE
Middle Name:
Last Name:FURAR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25864 W MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85326-2927
Mailing Address - Country:US
Mailing Address - Phone:623-826-2460
Mailing Address - Fax:
Practice Address - Street 1:25864 W MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-2927
Practice Address - Country:US
Practice Address - Phone:623-826-2460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ218624363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily