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Individual

AUBREY FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
4270 TAMIAMI TRL E STE 201, NAPLES, FL 34112-6887
(239) 799-7219
(239) 799-7209
Mailing address
4270 TAMIAMI TRL E STE 201, NAPLES, FL 34112-6887
(239) 799-7219
(239) 799-7209

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9319076
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016265800
FL
01
2DG0E
BCBS
FL
01
IK340Z
MEDICARE
FL
Enumeration date
12/07/2015
Last updated
10/26/2022
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