NANCY JANE FULMER


Address: 2151 Emrick Blvd, Suite 102, Bethlehem, PA 18020-8039
Phone: 6108673606

NANCY JANE FULMER (NPI# 1841207073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841207073
Entity Type Individual
Full Name NANCY JANE FULMER
Other Name NANCY JANE GRONER
Credential MSN, CRFNP
Practice Address 2151 Emrick Blvd
Suite 102
Bethlehem
PA 18020-8039
Mailing Address 3421 Nightingale Dr
Easton
PA 18045-8013
Practice Telephone 6108673606
Practice Fax Number 6108674595
Mailing Telephone 4845391350
Mailing Fax Number 4845361358
Enumeration Date 2006-08-01
Last Update Date 2010-04-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP007025B PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA CAPITAL BLUE CROSS 50084883 01

Office Location

Street Address 2151 EMRICK BLVD
SUITE 102
City BETHLEHEM
State PA
Zip Code 18020-8039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447224795 Robert A Morrow X Neurological Surgery 2151 Emrick Blvd, Suite 201, Bethlehem, PA 18020-8039 2006-02-14
1831473289 Northampton Urgent Care LLC Non-Pharmacy Dispensing Site 2151 Emrick Blvd, Suite 102, Bethlehem, PA 18020-8039 2011-10-04
1952633596 Northampton Clinic Company LLC Internal Medicine 2151 Emrick Blvd, Suite 201, Bethlehem, PA 18020-8039 2010-02-08
1306051651 Rajen P. Oza M.d., PC Internal Medicine 2151 Emrick Blvd, Bethlehem, PA 18020-8039 2007-05-11

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City BETHLEHEM
Zip Code 18020

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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