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Individual

MELISSA A FULTON

Active
Find providers by NPI
Individual

MELISSA A FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3008621
KY
363L00000X
Nurse Practitioner
COA.15660-NP
OH
363LF0000X
Family Nurse Practitioner
3008621
KY
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.15660
OH
363LF0000X
Family Nurse Practitioner
COA.15660-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104459
—
OH
05
—
7100307240
—
KY
01
—
P01340599
RR MEDICARE
OH
01
—
P01377399
RR MEDICARE
KY
Enumeration date
04/30/2014
Last updated
01/14/2019
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