Individual provider · Type 1 NPI

Elizabeth Anne Marie Fulks, CPNP-AC

Pediatric Nurse Practitioner · Detroit, MI

NPI number 1770065856 Active

Practice location

4201 Saint Antoine St
Detroit, MI 48201-2153

Mailing address

4201 Saint Antoine St # 5D
Detroit, MI 48201-2153

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X4704306489 (MI)
Pediatric Nurse Practitioner Primary 363LP0200X4704306489 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1770065856

Elizabeth Anne Marie Fulks, CPNP-AC's National Provider Identifier is 1770065856, issued on Sep 5, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Detroit, MI. The record was last updated on Sep 5, 2018.