Individual
MICHELLE LEE FULP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1525 S HIGLEY RD STE 104, GILBERT, AZ 85296-5045
(808) 772-3021
(480) 944-7849
Mailing address
1525 S HIGLEY RD STE 104, GILBERT, AZ 85296-5045
(480) 640-4908
(480) 944-7849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7806
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP7806
AZ
Other
Enumeration date
11/02/2007
Last updated
03/26/2024
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