| Mrs Rebecca Lu Fultz, RN | |
|
1848 93rd Ave Apt C, Dresser, WI 54009-4627 | |
| (171) 555-4204 | |
| Not Available |
| Full Name | Mrs Rebecca Lu Fultz |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Case Management |
| Location | 1848 93rd Ave Apt C, Dresser, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982861944 | NPI | - | NPPES |
| 3950845470 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 306538-031 (Wisconsin) | Secondary |
| 163WC0400X | Registered Nurse - Case Management | 174688-030 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rebecca Lu Fultz, RN 1848 93rd Ave Apt C, Dresser, WI 54009-4627 Ph: (171) 555-4204 | Mrs Rebecca Lu Fultz, RN 1848 93rd Ave Apt C, Dresser, WI 54009-4627 Ph: (171) 555-4204 |
Jeanette Boissy, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 805 200th St, Dresser, WI 54009 Phone: 715-755-2480 | |
Patricia St Dennis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 805 200th St, Dresser, WI 54009 Phone: 715-553-2800 |