Individual
KELSI FULDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
330 N WABASH AVE STE 210, MARION, IN 46952-2679
(765) 660-7330
Mailing address
441 N WABASH AVE, MARION, IN 46952-2612
(765) 660-7330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28212485A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013807A
IN
Other
Enumeration date
03/28/2023
Last updated
05/22/2023
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