Individual
LISA FULKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4610 E OSBORN RD, PHOENIX, AZ 85018-6018
(480) 484-3500
(480) 484-3501
Mailing address
5729 E DANBURY RD, SCOTTSDALE, AZ 85254-5996
(480) 238-3727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN180257
AZ
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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