# MACON FULIAR HENRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467675306
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | 705159 | TX | — |
| 363LA2100X | Acute Care Nurse Practitioner | 95014151 | CA | — |
| 363LA2100X | Acute Care Nurse Practitioner | AP144838 | TX | — |
| 363LA2100X | Acute Care Nurse Practitioner | AP61088966 | WA | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 02/14/2022