| Haley Fulton, FNP | |
|
300 W 5th St, Miller, SD 57362-1238 | |
| (605) 853-2421 | |
| Not Available |
| Full Name | Haley Fulton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 300 W 5th St, Miller, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386426849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP002996 (South Dakota) | Primary |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Haley Fulton, FNP 902 W 12th Ave, Miller, SD 57362-1257 Ph: () - | Haley Fulton, FNP 300 W 5th St, Miller, SD 57362-1238 Ph: (605) 853-2421 |
Justin Ward, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W 5th St, Miller, SD 57362 Phone: 605-853-0175 | |
Cassandra A Gutzmer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W 5th St, Miller, SD 57362 Phone: 605-853-0158 Fax: 605-853-3885 | |
Mrs. Michele Lynne Wieseler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W 5th St, Miller, SD 57362 Phone: 605-853-0158 Fax: 605-853-3885 | |
Karen Joan Runge, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W 5th St, Miller, SD 57362 Phone: 605-853-0158 Fax: 605-853-3885 |