| Sarah Fulkerson, | |
|
901 Mountain View Dr, Shelton, WA 98584-4401 | |
| (360) 426-1611 | |
| Not Available |
| Full Name | Sarah Fulkerson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 901 Mountain View Dr, Shelton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831582550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI00001229 (Washington) | Primary |
| Provider Name | Public Hospital District No 1 of Mason County |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760568752 PECOS PAC ID: 0345139275 Enrollment ID: O20040310001481 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Fulkerson, 901 Mountain View Dr, Shelton, WA 98584-4401 Ph: Not Available | Sarah Fulkerson, 901 Mountain View Dr, Shelton, WA 98584-4401 Ph: (360) 426-1611 |
Kate Przybycien, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 Mountain View Dr, Shelton, WA 98584 Phone: 360-426-1611 |
Amber May Nobbs, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 Mountain View Dr, Shelton, WA 98584 Phone: 360-426-1611 |
Candy Matson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 Mountain View Dr, Shelton, WA 98584 Phone: 360-427-9549 |
Ms. Patricia Nolan Suskin, R.D., C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 90 Se Klah-che-min Dr., Shelton, WA 98584 Phone: 360-432-3929 Fax: 360-427-1951 |