Provider Demographics
NPI:1750253266
Name:FUERST, MARANDA J
Entity type:Individual
Prefix:
First Name:MARANDA
Middle Name:J
Last Name:FUERST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:VAN WERT
Mailing Address - State:OH
Mailing Address - Zip Code:45891-1503
Mailing Address - Country:US
Mailing Address - Phone:419-203-8703
Mailing Address - Fax:
Practice Address - Street 1:913 GEORGE ST
Practice Address - Street 2:
Practice Address - City:VAN WERT
Practice Address - State:OH
Practice Address - Zip Code:45891-1503
Practice Address - Country:US
Practice Address - Phone:419-203-8703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide