Provider Demographics
NPI:1932489325
Name:FURMAN, TORRIE L (APRN)
Entity Type:Individual
Prefix:MS
First Name:TORRIE
Middle Name:L
Last Name:FURMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:TORRIE
Other - Middle Name:L
Other - Last Name:BOOMERSHINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:784 HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:FRENCHBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40322-8123
Mailing Address - Country:US
Mailing Address - Phone:606-768-9190
Mailing Address - Fax:
Practice Address - Street 1:17 MILLER DR
Practice Address - Street 2:
Practice Address - City:OWINGSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40360-2212
Practice Address - Country:US
Practice Address - Phone:606-674-3033
Practice Address - Fax:606-674-3036
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007117363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100196030Medicaid
KYK031926Medicare PIN
KYK031923Medicare PIN
KYK031925Medicare PIN
KYK031924Medicare PIN