person
Mrs. Elizabeth Anne Marie Fulks, CPNP-AC
Pediatric Nurse Practitioner in Detroit, Michigan
NPI 1770065856

Elizabeth Anne Marie Fulks is a Pediatric Nurse Practitioner based in Detroit, MI and is specialized in Pediatrics. Elizabeth Anne Marie Fulks practices in Detroit, MI and has the professional credentials of CPNP-AC. The NPI Number for Elizabeth Anne Marie Fulks is 1770065856 and holds a License No. 4704306489 (Michigan).

The current practice location address for Elizabeth Anne Marie Fulks is 4201 Saint Antoine St, Detroit, MI and can be reached out via phone at 313-745-4405.

Location: 4201 Saint Antoine St, Detroit, MI, 48201-2153
person
Provider Profile Details
NPI Number
1770065856
Provider Name
Elizabeth Anne Marie Fulks
Credential
CPNP-AC
Provider Entity Type
Individual
Gender
Female
Address
4201 Saint Antoine St, Detroit, MI, 48201-2153
Phone Number
313-745-4405
Fax Number
Provider Enumeration Date
09/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4201 Saint Antoine St
City
State
Zip
48201-2153
Phone Number
313-745-4405
Fax Number
person
Provider Business Mailing Address Details
Address
4201 Saint Antoine St
City
State
Zip
48201-2153
Phone Number
313-745-4405
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
4704306489 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
4704306489 (Michigan)
Definition
Definition to come...
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