Healthcare Provider Details

I. General information

NPI: 1487023990
Provider Name (Legal Business Name): LAURA FUHRMAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2015
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 BOWEN ST
TERRY MT
59349
US

IV. Provider business mailing address

PO BOX 652
TERRY MT
59349-0652
US

V. Phone/Fax

Practice location:
  • Phone: 406-635-5511
  • Fax:
Mailing address:
  • Phone: 406-581-9570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNUR-RN-LIC-36114
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: