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NPI Code Detail

MEDICARE: SALLI M FULMINAR APRN, FNP-BC

MEDICARE: SALLI M FULMINAR APRN, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner908138MS
2363L00000XNurse Practitioner225781OK
3363L00000XNurse PractitionerAP125694TX
4363L00000XNurse Practitioner0026991OH
5363L00000XNurse PractitionerC-APN.0103363-C-NPCO
6363L00000XNurse Practitioner14262925-4405UT
7363L00000XNurse Practitioner2024032201MO
8363L00000XNurse Practitioner293036AZ

General Provider Information

NPI Number : 1609275536
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALLI M FULMINAR APRN, FNP-BC
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 20405 STATE HIGHWAY 249 STE 325
Second Line :
City : HOUSTON
State : TX
Zip : 77070-2893
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2014
Last Update Date : 02/11/2026

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