Mrs. Shannon Fultz
Nurse Practitioner - Acute Care
3 Myrtle Ave
Riverside
, Rhode Island 02915-4733
Mrs. Shannon Fultz
Nurse Practitioner - Acute Care
3 Myrtle Ave
Riverside
, Rhode Island 02915-4733
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Mrs. Shannon Fultz
- 3 Myrtle Ave
- Riverside, RI
- Zip : 02915-4733
- Phone :
Second Address
- Mrs. Shannon Fultz
- 3 Myrtle Ave
- Riverside, RI
- Zip : 02915-4733
- Phone : (603) 765-1431
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN02454 | RI |
National Provider Identifier
| NPI | 1023601069 |
|---|---|
| Provider Name | Mrs. Shannon Fultz |
| First Address | Riverside, RI 02915-4733 |
| Second Address | Riverside, RI 02915-4733 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/02/2021 |
| Last Update Date | 19/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| APRN02454 | STATE (01) | 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.