FULTON & FULTON LLC NPI 1790384014

NPI Information

  • NPI: 1790384014
  • Provider Name: FULTON & FULTON LLC
  • Classification: Nurse Practitioner - 363LC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Doing Business As: MESQUITE VALLEY INTEGRATED HEALTH
  • CLIA Number: 03D2212821
  • Address: 560 W BROWN RD STE 1011
    MESA, AZ
    ZIP 85201
  • Phone: (480) 509-7738

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NPI Details

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.
The provider Is Doing Business As Mesquite Valley Integrated Health.

The provider's business location address is:

560 W BROWN RD STE 1011
MESA, AZ
ZIP 85201-222
Phone: (480) 509-7738
Fax: (480) 856-9069

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 7/23/2024.

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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2363LC1500XNurse PractitionerCommunity HealthYes

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: 3/30/2025

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