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Raven Fulgham, FNP-C
Family Nurse Practitioner in Suffolk, Virginia
NPI 1598275687

Raven Fulgham is a Family Nurse Practitioner based in Norfolk, VA and is specialized in Family. Raven Fulgham practices in Suffolk, VA and has the professional credentials of FNP-C. The NPI Number for Raven Fulgham is 1598275687 and holds a License No. 0024175269 (Virginia).

The current practice location address for Raven Fulgham is 5818 Harbour View Blvd Ste 240, Suffolk, VA and can be reached out via phone at 757-483-6100.

Location: 5818 Harbour View Blvd Ste 240, Suffolk, VA, 23517-1855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598275687
Provider Name
Raven Fulgham
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
5818 Harbour View Blvd Ste 240, Suffolk, VA, 23517-1855
Phone Number
757-483-6100
Fax Number
Provider Enumeration Date
10/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5818 Harbour View Blvd Ste 240
City
Suffolk
State
Virginia
Zip
23435-3315
Phone Number
757-483-6100
Fax Number
person
Provider Business Mailing Address Details
Address
5818 Harbour View Blvd Ste 240
City
Suffolk
State
Virginia
Zip
23435-3315
Phone Number
757-483-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0024175269 (Virginia)
Definition
Definition to come...
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