Individual
JAMES PAUL FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
723 MEMORIAL ST, PROSSER, WA 99350-1524
(509) 786-2222
(509) 786-6612
Mailing address
723 MEMORIAL ST, PROSSER, WA 99350-1524
(509) 786-2222
(509) 786-6612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30006595
WA
367500000X
Certified Registered Nurse Anesthetist
RN00120658
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001944
PMH L & I #
WA
05
—
7118334
—
WA
05
—
9460103
—
WA
Enumeration date
06/03/2006
Last updated
07/09/2007
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