Individual
CIERRA FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9440 STRATTON DR APT 1101, FRISCO, TX 75035-5332
(901) 679-7932
Mailing address
9440 STRATTON DR APT 1101, FRISCO, TX 75035-5332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13398
TN
Other
Enumeration date
02/02/2019
Last updated
02/02/2019
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