Search › Arizona › 376K00000X
Shane Fulton, CNA , MD
NPI 1932734803 · on the registry since 2020 · sole proprietor
Practice
- Address
- 6131 N 16th St Apt D204
Phoenix, AZ 85016 - Phone
- (623) 986-6877
Additional practice sites
- 2314 W Thomas Rd Apt 261, Phoenix, AZ
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Also registered as
- 374U00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-02
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 Arizona