Individual
MACIE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7315 E FRONTAGE RD STE 140, MERRIAM, KS 66204-1600
(913) 676-2370
Mailing address
7315 E FRONTAGE RD STE 140, MERRIAM, KS 66204-1600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
157302
KS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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