SHANNON FULTZ

RIVERSIDE, RI
NPI1023601069
Former NameSHANNON GILL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: RI  APRN02454)
Enumeration Date2021-02-19
Last Update Date2021-02-19
Business Address
Mrs. SHANNON FULTZ APRN
3 MYRTLE AVE
RIVERSIDE, RI 02915-4733
Phone number: 603-765-1431
Mailing Address
Mrs. SHANNON FULTZ APRN
3 MYRTLE AVE
RIVERSIDE, RI 02915-4733
Phone number:
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