Provider Demographics
NPI:1609407964
Name:FUHRER, ERIN (APRN)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:FUHRER
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:PO BOX 21890
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4115
Mailing Address - Country:US
Mailing Address - Phone:502-907-0356
Mailing Address - Fax:502-919-9780
Practice Address - Street 1:700 KIMBER LANE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-2803
Practice Address - Country:US
Practice Address - Phone:812-476-7111
Practice Address - Fax:812-476-7117
Is Sole Proprietor?:No
Enumeration Date:2020-01-27
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3014432363L00000X
IN71009723A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY2139767OtherWELLCARE OF KY PROVIDER ID NUMBER
7832751OtherCIGNA PROVIDER ID NUMBER
KYPDZ000000433492OtherAETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
CS2007900199OtherCARESOURCE PROVIDER ID NUMBER
000001347415OtherANTHEM PROVIDER ID NUMBER
7315083OtherUNITED HEALTHCARE PROVIDER ID NUMBER
KY7100647390Medicaid
IN300034788Medicaid