Provider Demographics
NPI:1972509750
Name:FURY, THERESA ANNE (RNFA)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:ANNE
Last Name:FURY
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 DERBY DR
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-1205
Mailing Address - Country:US
Mailing Address - Phone:410-557-0870
Mailing Address - Fax:
Practice Address - Street 1:1212 YORK RD
Practice Address - Street 2:STE B101
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6233
Practice Address - Country:US
Practice Address - Phone:410-821-0009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR062831163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant