Individual
FULI RICHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4209 GATEWAY BLVD, NEWBURGH, IN 47630-8900
(812) 426-9855
(812) 858-4536
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 426-9855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3007890
KY
363L00000X
Nurse Practitioner
Primary
71009360A
IN
363LF0000X
Family Nurse Practitioner
3008790
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100310760
—
KY
Enumeration date
07/15/2014
Last updated
09/26/2019
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