Healthcare Provider Details

I. General information

NPI: 1710010095
Provider Name (Legal Business Name): KATHERINE ANN FUHRMANN MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHY ANN NELSON FUHRMANN MS CGC

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 05/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 JACKSON ST. MAIL STOP 11101G REGIONS HOSPITAL
ST PAUL MN
55101
US

IV. Provider business mailing address

640 JACKSON ST. MAIL STOP 11101G REGIONS HOSPITAL
ST PAUL MN
55101
US

V. Phone/Fax

Practice location:
  • Phone: 651-254-3572
  • Fax: 651-254-3470
Mailing address:
  • Phone: 651-254-3572
  • Fax: 651-254-3470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: