FULTON & FULTON LLC NPI 1790384014

NPI Information

NPI: 1790384014
Provider Name: FULTON & FULTON LLC

Doing Business As: MESQUITE VALLEY INTEGRATED HEALTH

Classification: Nurse Practitioner - 363LC1500X
Entity Type: Organization

Specialization: Community Health

Address:
3707 E SOUTHERN AVE
MESA, AZ
ZIP 85206
Phone: (480) 509-7738
Get Directions

FULTON & FULTON LLC is a community health nurse practitioner in Mesa, AZ. FULTON & FULTON LLC NPI is 1790384014. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mesquite Valley Integrated Health.

The provider's business location address is:

3707 E SOUTHERN AVE
MESA, AZ
ZIP 85206-569
Phone: (480) 509-7738

The provider's authorized official is Troy Fulton .
The authorized official title is Owner and has the following contact phone number (480) 509-7738.

The CLIA number assigned to this NPI record is 03D2212821 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2020 and was last updated on 2/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LC1500X	Nurse Practitioner	Community Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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