Provider Demographics
NPI:1215217831
Name:FURR, RENEE MICHELLE THERRIEN
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:MICHELLE THERRIEN
Last Name:FURR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 PETER PARLEY RD
Mailing Address - Street 2:APT 2
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-2913
Mailing Address - Country:US
Mailing Address - Phone:617-784-0591
Mailing Address - Fax:
Practice Address - Street 1:33 PETER PARLEY RD
Practice Address - Street 2:APT 2
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-2913
Practice Address - Country:US
Practice Address - Phone:617-784-0591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program