Fulks, Brenton Glenn

Fulks, Brenton Glenn is an individual health care provider with primary practice located at 1817 N Mills Ave , Orlando FL 32803-1853. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Fulks, Brenton Glenn can be contacted via phone (407) 896-7438.

Contact Information

Primary practice address
1817 N Mills Ave Orlando FL 32803-1853
Phone: (407) 896-7438
Fax: (407) 896-7440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2990102 Florida

Profile Details

NPI number 1134181175
LBN Legal business name Fulks, Brenton Glenn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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