Individual
KATIE ELIZABETH FULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
234 KELLER PARK BLVD, TUSCUMBIA, AL 35674
(256) 381-6963
(256) 381-6018
Mailing address
234 KELLER PARK BLVD, TUSCUMBIA, AL 35674
(256) 381-6963
(256) 381-6018
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-1203027
AL
Other
Enumeration date
08/30/2012
Last updated
05/27/2014
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