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Individual

KATHERINE ANN FULCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
3850 WINDERMERE PKWY STE 105, CUMMING, GA 30041-7033
(678) 455-2800
(770) 888-9998
Mailing address
3850 WINDERMERE PKWY STE 105, CUMMING, GA 30041-7033
(678) 455-2800
(770) 888-9998

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
66369
WV
363LF0000X
Family Nurse Practitioner
71010054A
IN
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP316853
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300042114
IN
Enumeration date
09/18/2010
Last updated
10/13/2025
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