Individual
ELIZABETH FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
700 COOPER AVE, SAGINAW, MI 48602-5383
(989) 583-6016
Mailing address
700 COOPER AVE, SAGINAW, MI 48602-5383
(989) 583-6016
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
4704322676
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704322676
MI
Other
Enumeration date
11/09/2020
Last updated
11/13/2020
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