Healthcare Provider Details

I. General information

NPI: 1609982313
Provider Name (Legal Business Name): LINDA M FUHRMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 CLEMENT ST # 118
SAN FRANCISCO CA
94121-1545
US

IV. Provider business mailing address

3325 MAGNOLIA ST
OAKLAND CA
94608-4125
US

V. Phone/Fax

Practice location:
  • Phone: 415-221-4810
  • Fax:
Mailing address:
  • Phone: 510-428-0582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number503081
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: