Individual
MS. BARBARA C FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
1415 W SCENIC RIVERS BLVD, SALEM, MO 65560-2840
(573) 729-5533
(573) 202-2466
Mailing address
1050 W 10TH ST, ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINICS, ROLLA, MO 65401
(573) 364-9000
(573) 426-2108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2000146655
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426994802
—
MO
Enumeration date
11/02/2005
Last updated
10/29/2019
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