Provider Demographics
NPI:1124153788
Name:FURNISS, ANN (LAC, DIPLAC,RN)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:FURNISS
Suffix:
Gender:F
Credentials:LAC, DIPLAC,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2933 W CARY ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-3515
Mailing Address - Country:US
Mailing Address - Phone:804-938-5668
Mailing Address - Fax:
Practice Address - Street 1:2933 W CARY ST
Practice Address - Street 2:SUITE 201
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23221-3515
Practice Address - Country:US
Practice Address - Phone:804-938-5668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000169171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist