Individual
DR. LAUREL M FULGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
UK HEALTHCARE 1000 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 257-1000
Mailing address
485 N MONROE STATION DR, FAYETTEVILLE, AR 72704-7036
(708) 822-9920
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
3012675
KY
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
3012675
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017014796
AMERICAN NURSE CREDENTIALING CENTER
—
01
—
3012675
KENTUCKY STATE BOARD OF NURSING
KY
Enumeration date
09/18/2018
Last updated
12/17/2020
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