Individual
KAREN FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
593 EDDY ST, MAIN BLDG., ROOM 038, PROVIDENCE, RI 02903-4923
(401) 444-4779
(401) 444-7464
Mailing address
593 EDDY ST, APC 978, PROVIDENCE, RI 02903-4923
(401) 444-4318
(401) 444-7865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN22606
RI
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
PNS00004
RI
Other
Enumeration date
12/22/2005
Last updated
01/19/2012
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