Brandi Fultz, RN
Registered Nurse, Gerontology in Bellevue, OH. Individual provider (NPI-1).
NPI number1073280418
StatusActive
Last updated in NPPESAug 24, 2021
Details
- NPI
- 1073280418
- Entity type
- Individual (NPI-1)
- Name
- Brandi Fultz
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2021
- Certification date
- Aug 24, 2021
- Last updated
- Aug 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0600X | Registered Nurse, Gerontology | RN.291382 | OH | Yes |
Practice location
101 Auxiliary DrBellevue, OH 44811-9492
Phone 419-217-9224
Mailing address
101 Auxiliary DrBellevue, OH 44811-9492
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