Fulton, Shane Amour

Fulton, Shane Amour is an sole proprietor health care provider with primary practice located at 6131 N 16Th St Apt D204 , Phoenix AZ 85016-1711. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Nurse's Aide is her primary health care specialty. Fulton, Shane Amour can be contacted via phone (623) 986-6877.

Contact Information

Primary practice address
6131 N 16Th St Apt D204 Phoenix AZ 85016-1711
Phone: (623) 986-6877
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Arizona
Nursing Service Related Providers / Nurse's Aide 376K00000X CNA1000056885 Arizona

Profile Details

NPI number 1932734803
LBN Legal business name Fulton, Shane Amour
Credentials CNA , MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2020
Last updated Nov 2nd, 2022 - about 3 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 1932734803 NPPES
Arizona Other NONE NONE

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