Individual
DR. CATHY RUTH FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, FNP-BC
Contact information
Practice address
600 N EAGLESON AVE, BLOOMINGTON, IN 47405-3190
(812) 855-6511
(812) 855-4628
Mailing address
600 N EAGLESON AVE, BLOOMINGTON, IN 47405-3190
(812) 855-6511
(812) 855-4628
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71000609
IN
363LF0000X
Family Nurse Practitioner
Primary
71000609
IN
Other
Enumeration date
08/09/2006
Last updated
07/25/2022
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