Individual
BREANE FULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1706 S BASCOM AVE, SUITE# 140, CAMPBELL, CA 95008
(408) 728-9888
Mailing address
1706 S BASCOM AVE, SUITE 140, CAMPBELL, CA 95008
(408) 728-9888
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95031962
CA
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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