Fultz, Shannon

Fultz, Shannon is an individual health care provider with primary practice located at 3 Myrtle Ave , Riverside RI 02915-4733. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Fultz, Shannon can be contacted via phone (603) 765-1431.

Contact Information

Primary practice address
3 Myrtle Ave Riverside RI 02915-4733
Phone: (603) 765-1431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN02454 Rhode Island

Profile Details

NPI number 1023601069
LBN Legal business name Fultz, Shannon
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2021
Last updated Feb 19th, 2021 - 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 1023601069 NPPES
Rhode Island Other APRN02454 STATE

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