Individual
PAMELA ANGEL FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1308 QUINCY ST NE, ALBUQUERQUE, NM 87110-5021
(505) 453-4727
Mailing address
1308 QUINCY ST NE, ALBUQUERQUE, NM 87110-5021
(505) 453-4727
(877) 860-2279
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP00616
NM
363LF0000X
Family Nurse Practitioner
CNP 00616
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93708220
—
NM
Enumeration date
01/05/2007
Last updated
02/28/2017
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