Individual
ABBIE LYNN FULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2855 10TH STREET, SUITE B, GERING, NE 69341
(308) 633-1325
(308) 633-1327
Mailing address
635 K ST, GERING, NE 69341-3312
(308) 631-2361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
113316
NE
Other
Enumeration date
09/25/2020
Last updated
01/17/2022
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