Individual
ELIZABETH FULTON
Active
Individual
ELIZABETH FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
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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