Elizabeth Fulks, CPNP-AC

NPI 1770065856 · on the registry since 2018

Practice

Address: 4201 Saint Antoine St
Detroit, MI 48201
Phone: (313) 745-4405
Organisation at this address: Walgreen Co
Family Service
Vhs Of Michigan
Ahmed Sawah Md Pc
Rehab Alliance Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 803

Registry record

Primary taxonomy: 363LP0200X
363LP0200X
Also registered as: 363LA2100X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-09-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan