Individual
DANELLE FULTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
625 COURT ST, SIOUX CITY, IA 51101-1919
(712) 252-3871
Mailing address
PO BOX 1917, SIOUX CITY, IA 51102-1917
(712) 252-3871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
090671
IA
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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