Provider Demographics
NPI:1457680910
Name:FURBER, KATHERINE K (APRN)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:K
Last Name:FURBER
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 1:789 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2526
Mailing Address - Country:US
Mailing Address - Phone:603-868-3300
Mailing Address - Fax:603-868-3303
Practice Address - Street 1:65 CALEF HWY
Practice Address - Street 2:STE 200
Practice Address - City:LEE
Practice Address - State:NH
Practice Address - Zip Code:03861-6703
Practice Address - Country:US
Practice Address - Phone:603-626-9500
Practice Address - Fax:603-626-0899
Is Sole Proprietor?:No
Enumeration Date:2009-12-12
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH056692-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3071600Medicaid
NH120816OtherMERIDIAN HEALTH PLAN
ME1457680910Medicaid
NHT400127521Medicare PIN