Organization
FULTON & FULTON LLC
Active
Other names
Mesquite Valley Integrated Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY FULTON PMHNP (OWNER)
(480) 509-7738
Entity
Organization
Contact information
Practice address
560 W BROWN RD STE 1011, MESA, AZ 85201-3222
(480) 509-7738
(480) 856-9069
Mailing address
560 W BROWN RD STE 1011, MESA, AZ 85201-3222
(480) 509-7738
(480) 856-9069
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
07/23/2024
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