Sarah Fulkerson, | |
901 Mountain View Dr, Shelton, WA 98584-4401 | |
(360) 426-1611 | |
Not Available |
Full Name | Sarah Fulkerson |
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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 |
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1831582550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | DI00001229 (Washington) | Primary |
Provider Name | Public Hospital District No 1 Of Mason County |
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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 |
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Sarah Fulkerson, 901 Mountain View Dr, Shelton, WA 98584-4401 Ph: () - | Sarah Fulkerson, 901 Mountain View Dr, Shelton, WA 98584-4401 Ph: (360) 426-1611 |
Kate Przybycien, RD Dietitian Medicare: Medicare Enrolled 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 | |
Breann Hogie, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 Mountain View Dr, Shelton, WA 98584 Phone: 360-426-1611 |