Haley Fulton, FNP | |
300 W 5th St, Miller, SD 57362-1238 | |
(605) 853-2421 | |
Not Available |
Full Name | Haley Fulton |
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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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
Mailing Address | Practice Location Address |
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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 |