Individual
BRANDI FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 AUXILIARY DR, BELLEVUE, OH 44811-9492
(419) 217-9224
Mailing address
101 AUXILIARY DR, BELLEVUE, OH 44811-9492
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
RN.291382
OH
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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