Individual
KRISTINA FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1990 UNION LAKE RD STE 300, COMMERCE TOWNSHIP, MI 48382-2200
(248) 363-7109
Mailing address
3003 S BALDWIN RD, LAKE ORION, MI 48359-2358
(248) 391-9090
(248) 391-9210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704280075
MI
Other
Enumeration date
06/28/2017
Last updated
08/13/2018
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