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NPI Code Detail

MEDICARE: ARLENE FULTZ NP

MEDICARE: ARLENE FULTZ NP
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
1363LA2200XAdult Health Nurse Practitioner0024155709VA

General Provider Information

NPI Number : 1750550950
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARLENE FULTZ NP
Provider Business Mailing Address
First Line : 3710 CHEYENNE RD
Second Line :
City : RICHMOND
State : VA
Zip : 23235-1218
Country : US
Telephone Number : 804-272-2332
Fax Number :
Provider Business Practice Location Address
First Line : 3710 CHEYENNE RD
Second Line :
City : RICHMOND
State : VA
Zip : 23235-1218
Country : US
Telephone Number : 804-272-2332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2008
Last Update Date : 02/21/2008

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Directions to “ ARLENE FULTZ NP” Practice Location

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