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1134123649
NINA MICHAEL FULKERSON
LOUISVILLE, KY
NPI
1134123649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3003622)
Enumeration Date
2005-06-13
Last Update Date
2020-10-16
Business Address
Mrs. NINA MICHAEL FULKERSON APRN
2360 STONY BROOK DR
LOUISVILLE, KY 40220-4018
Phone number: 502-446-5462
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Mailing Address
Mrs. NINA MICHAEL FULKERSON APRN
401 E CHESTNUT ST STE #510
LOUISVILLE, KY 40202-5700
Phone number: 502-589-0802
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