Individual
ERICCA LYNNMARIE FULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
560 STEUBENVILLE PIKE, BURGETTSTOWN, PA 15021-8539
(724) 947-5350
Mailing address
651 COLLIERS WAY STE 300, WEIRTON, WV 26062-5058
(304) 797-6404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
105092
WV
Other
Enumeration date
01/16/2020
Last updated
11/21/2020
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