Most Relevant Information
Provider Data
| NPI Number: | 1003244252 |
| Provider Name: | AHNA D FULMER CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | SP013013 |
Most Important Dates
| Enumeration Date: | 10/25/2013 |
| Last Updated: | 04/09/2018 |
Provider Practice Location
1500 HIGHLANDS DR
LITITZ
PA
175437694
Practice Location Phone/Fax
| Phone: | 7179880000 |
| Fax: | 7177825716 |
Provider Mailing Location
409 S 2ND ST STE 2F
HARRISBURG
PA
171041612
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |