Ana Tuya Fulton
Internist Geriatric Medicine
345 Blackstone Blvd
Providence
, Rhode Island 02906-4800
Ana Tuya Fulton
Internist Geriatric Medicine
345 Blackstone Blvd
Providence
, Rhode Island 02906-4800
(401) 680-4288
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Ana Tuya Fulton
- 345 Blackstone Blvd
- Providence, RI
- Zip : 02906-4800
- Fax : (401) 680-4288
- Phone : (401) 455-6362
Second Address
- Ana Tuya Fulton
- 345 Blackstone Blvd
- Providence, RI
- Zip : 02906-4800
- Fax : (401) 680-4288
- Phone : (401) 455-6200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD12075 | RI |
| N | 111NI0900X | Internist | MD12075 | RI |
| Y | 207RG0300X | Geriatric Medicine | MD12075 | RI |
National Provider Identifier
| NPI | 1144273301 |
|---|---|
| Provider Name | Ana Tuya Fulton |
| First Address | Providence, RI 02906-4800 |
| Second Address | Providence, RI 02906-4800 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2006 |
| Last Update Date | 29/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00705844 | MEDICARE ID-TYPE UNSPECIFIED (01) | RI |
| 007060089 | MEDICARE ID-TYPE UNSPECIFIED (01) | RI |
| 05-0450410 | UNITED HEALTHCARE (01) | RI |
| 1093831646 | BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE (01) | |
| 1104801349 | BUTLER HOSPITAL NPI (01) | RI |
| 31581-6 | BLUE SHIELD (01) | RI |
| 31892 | NEIGHBORHOOD HEALTH (01) | RI |
| 413315 | BLUE CHIP (01) | RI |
| 705844 | (05) | RI |
| I53321 | (02) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.