Individual
DAVID FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-2911
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-2911
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA203032
ME
Other
Enumeration date
05/19/2016
Last updated
07/20/2020
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