Individual
KRISTEN E FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
30 HOPE DR STE 1200, HERSHEY, PA 17033-2036
(717) 531-3828
(717) 531-0793
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016263
PA
363LA2100X
Acute Care Nurse Practitioner
SP016263
PA
363LG0600X
Gerontology Nurse Practitioner
SP016263
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103135760
—
PA
01
—
523514
MEDICARE
PA
Enumeration date
07/21/2016
Last updated
07/21/2022
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