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Individual
SELVI FULTS
Active
Individual
SELVI FULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN167969
GA
363LF0000X
Family Nurse Practitioner
Primary
APRN11041382
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN167969
NP LICENSE
GA
Enumeration date
02/05/2014
Last updated
08/13/2025
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