Provider Demographics
NPI:1013943620
Name:FURBER, LEWIS EDGAR JR (FNP)
Entity Type:Individual
Prefix:
First Name:LEWIS
Middle Name:EDGAR
Last Name:FURBER
Suffix:JR
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1148 BURTON DR
Mailing Address - Street 2:#2
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003
Mailing Address - Country:US
Mailing Address - Phone:530-223-2371
Mailing Address - Fax:
Practice Address - Street 1:36977 PARK AVENUE
Practice Address - Street 2:PITT RIVER HEALTH SERVICES
Practice Address - City:BURNEY
Practice Address - State:CA
Practice Address - Zip Code:96013
Practice Address - Country:US
Practice Address - Phone:530-335-5090
Practice Address - Fax:530-335-2951
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAFPF14945363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner