Individual
BRIANNA FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 S 78TH ST APT 204, OMAHA, NE 68114-4583
(402) 274-7307
Mailing address
345 S 78TH ST APT 204, OMAHA, NE 68114-4583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
100961
NE
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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