Anna L Fultz, NP-C is a
Nurse Practitioner - Family based in Lisbon, Maine. Anna L Fultz is licensed to practice in Indiana (license number 71004689A) and her current practice location is
2 Bisbee St, Lisbon, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 353-6721.
NPI number for Anna L Fultz is 1306274014 and her current mailing address is 29 Lowell St, Lewiston, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306274014.
Provider's Profile
Full Name | Anna L Fultz |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2 Bisbee St, Lisbon, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306274014
- Provider Enumeration Date: 10/16/2013
- Last Update Date: 03/04/2021
Medical Identifiers
Medical identifiers for Anna L Fultz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306274014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 71004689A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 28106322A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71004689A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anna L Fultz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Anna L Fultz, NP-C 29 Lowell St, Lewiston, ME 04240-7639 Ph: () - | Anna L Fultz, NP-C 2 Bisbee St, Lisbon, ME 04250-6835 Ph: (207) 353-6721 |
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