Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APRN.CNP.020837 | OH |
Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.020837 | OH |
N | 363LA2200X | Nurse Practitioner - Adult Health | APRN.CNP.020837 | OH |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN.CNP.020837 | OH |
N | 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.020837 | OH |
NPI | 1114452042 |
---|---|
Provider Name | Michelle Renee Fuhr |
First Address | Walbridge, OH 43465-1450 |
Second Address | Walbridge, OH 43465-1450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2017 |
Last Update Date | 01/08/2017 |