Individual
MRS. SHANNON FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 793-9166
(401) 444-2788
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN02454
RI
363LA2100X
Acute Care Nurse Practitioner
APRN02454
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN02454
STATE
RI
Enumeration date
02/19/2021
Last updated
07/29/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up