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NPI Code Detail

MEDICARE: KRISTEN FULTON-WRIGHT

MEDICARE: KRISTEN FULTON-WRIGHT
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
11041C0700XClinical Social Worker0904011501VA

General Provider Information

NPI Number : 1811521008
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN FULTON-WRIGHT
Provider Business Mailing Address
First Line : PO BOX 1430
Second Line :
City : HARRISONBURG
State : VA
Zip : 22803-1430
Country : US
Telephone Number : 540-564-5100
Fax Number : 757-579-8573
Provider Business Practice Location Address
First Line : 644 UNIVERSITY BLVD
Second Line :
City : HARRISONBURG
State : VA
Zip : 22801-3773
Country : US
Telephone Number : 540-564-5100
Fax Number : 757-579-8573
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2020
Last Update Date : 03/03/2020

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Directions to “ KRISTEN FULTON-WRIGHT ” Practice Location

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