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Individual
TONYA L FULK
Active
Individual
TONYA L FULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN202025, COA 03129
OH
363LW0102X
Women's Health Nurse Practitioner
NP03129
OH
363LW0102X
Women's Health Nurse Practitioner
RN202025NP03129
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 202025
STATE LICENSE
OH
Enumeration date
12/26/2007
Last updated
01/09/2017
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