| Doctor Name: | MISS KRISTY L FUHRKEN |
| NPI Number: | 1003110453 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | 678538 |
| Business Practice Address: | 819 E Main Ave Robstown, TX - 783803134 |
| Business Phone Number: | 3613871200 |
| Business Fax Number: | 3613871300 |
| Mailing Address: | 14041 Northwest Blvd, Ste 1 CORPUS CHRISTI |
| State: | TX |
| Postal Code: | 784105137 |
| Phone Number: | 3617679963 |
| Fax Number: | 3617671382 |
| NPI Enumeration Date: | 12/28/2010 |
| NPI Last Update Date: | 12/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 678538 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |