Holly Mae Fulmer MSN, RN, AGPCNP-BC

NPI 1326435694 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1326435694
Gender Female
Enumeration Date 04/23/2015
Last Updated 04/23/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
450 BROOKLINE AVE
BOSTON MA, 02215-5418, US
Phone (617) 632-3052
Fax
Business Location
28 QUEENSBERRY ST
APT 12
BOSTON MA, 02215-5258, US
Phone (914) 844-3659
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Massachusetts
License Number RN2261874
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According to our database, Holly Mae Fulmer MSN, RN, AGPCNP-BC NPI is 1326435694, taxonomy code is 363LA2200X and license number is RN2261874, license state is located at Massachusetts. Holly Mae Fulmer MSN, RN, AGPCNP-BC physically located at 450 Brookline Ave, Boston MA, 02215-5418. NPI Number Holly Mae Fulmer MSN, RN, AGPCNP-BC has the Individual type.

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1326435694 NPI number is provided on an as is basis without warranty of any kind. 1326435694 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Mae Fulmer MSN, RN, AGPCNP-BC are for informational purposes only.