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Renae Fulks
Licensed Practical Nurse in Southgate, Michigan
NPI 1023496288

Renae Fulks is a Licensed Practical Nurse based in Southgate, MI. Renae Fulks practices in Southgate, MI. The NPI Number for Renae Fulks is 1023496288 and holds a License No. 4703111417 (Michigan).

The current practice location address for Renae Fulks is 13460 Cambridge St Apt 203, Southgate, MI and can be reached out via phone at 734-444-6831.

Location: 13460 Cambridge St Apt 203, Southgate, MI, 48195-1540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023496288
Provider Name
Renae Fulks
Credential
Provider Entity Type
Individual
Gender
Female
Address
13460 Cambridge St Apt 203, Southgate, MI, 48195-1540
Phone Number
734-444-6831
Fax Number
Provider Enumeration Date
05/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13460 Cambridge St Apt 203
City
Southgate
State
Michigan
Zip
48195-1540
Phone Number
734-444-6831
Fax Number
person
Provider Business Mailing Address Details
Address
13460 Cambridge St Apt 203
City
Southgate
State
Michigan
Zip
48195-1540
Phone Number
734-444-6831
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703111417 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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