Healthcare Provider Details

I. General information

NPI: 1093273682
Provider Name (Legal Business Name): RENAE FURAR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2019
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10815 W MCDOWELL RD STE 305
AVONDALE AZ
85392-5016
US

IV. Provider business mailing address

865 S WATSON RD STE 204
BUCKEYE AZ
85326-3470
US

V. Phone/Fax

Practice location:
  • Phone: 623-925-5660
  • Fax: 602-925-2311
Mailing address:
  • Phone: 623-925-5660
  • Fax: 623-925-2311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number218624
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: