Individual
CHRISTINA CROFT FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3735 GLENLAKE DR STE 250, CHARLOTTE, NC 28208-6866
(704) 749-5800
(704) 626-3237
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 713-0947
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2266422
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
7142
NC
367500000X
Certified Registered Nurse Anesthetist
RN2266422
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110124183A
—
MA
05
—
3121224
—
NH
Enumeration date
01/27/2015
Last updated
01/06/2026
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