Individual
CHRISTINE E. FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2779
Mailing address
7765 WOODLANDS TRL, CHESTERLAND, OH 44026-3000
(440) 476-1436
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA-00618
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2376272
—
OH
Enumeration date
05/25/2006
Last updated
07/08/2007
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