| Dr Breanna Fuhrman, APRN, FNP-C | |
|
1360 Rogersville Rd, Radcliff, KY 40160-9344 | |
| (270) 351-0086 | |
| Not Available |
| Full Name | Dr Breanna Fuhrman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1360 Rogersville Rd, Radcliff, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194347617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | 1154856 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3016233 (Kentucky) | Primary |
| Entity Name | Brock Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Breanna Fuhrman, APRN, FNP-C 1360 Rogersville Rd, Radcliff, KY 40160-9344 Ph: (270) 351-1150 | Dr Breanna Fuhrman, APRN, FNP-C 1360 Rogersville Rd, Radcliff, KY 40160-9344 Ph: (270) 351-0086 |
Jessica Louise Schmalle, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1360 Rogersville Rd, Radcliff, KY 40160 Phone: 270-351-1150 | |
Samantha Jane Baker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 W Lincoln Trail Blvd, Radcliff, KY 40160 Phone: 270-351-3192 Fax: 270-351-5499 | |
Mary C Sutton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 W Lincoln Trail Blvd Ste B, Radcliff, KY 40160 Phone: 270-532-4901 Fax: 270-352-4900 | |
Christina Maria Tyus, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1632 Hemlock Ln, Radcliff, KY 40160 Phone: 850-602-7783 | |
Brooke Padgett, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Veterans Dr, Radcliff, KY 40160 Phone: 270-352-6700 | |
Melissa Grace Webster, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1679 N Wilson Rd Ste 110, Radcliff, KY 40160 Phone: 270-272-0000 | |
Mrs. Carmen N. Painter, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Lincoln Trail Blvd, Radcliff, KY 40160 Phone: 270-951-3192 |