Fulmore, Nancy

Fulmore, Nancy is an individual health care provider with primary practice located at 6553 E Baywood Ave Ste 205 , Mesa AZ 85206-1754. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Fulmore, Nancy can be contacted via phone (480) 626-2020.

Contact Information

Primary practice address
6553 E Baywood Ave Ste 205 Mesa AZ 85206-1754
Phone: (480) 626-2020
Fax: (480) 626-2022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 231655 Arizona

Profile Details

NPI number 1023666146
LBN Legal business name Fulmore, Nancy
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2019
Last updated Dec 19th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023666146 NPPES
Arizona MEDICAID 586587

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