Individual
AUDREY FULWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1412 SW 43RD ST STE 315, RENTON, WA 98057-4803
(206) 900-5602
Mailing address
1412 SW 43RD ST STE 315, RENTON, WA 98057-4803
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60486293
WA
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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