Individual provider · Type 1 NPI

Renae Fulks

Licensed Practical Nurse · Southgate, MI

NPI number 1023496288 Active

Practice location

13460 Cambridge St Apt 203
Southgate, MI 48195-1540

Call (734) 444-6831 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703111417 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1023496288

Renae Fulks's National Provider Identifier is 1023496288, issued on May 8, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Southgate, MI. The record was last updated on May 8, 2015.