| Doctor Name: | AHNA FULMER |
| NPI Number: | 1003244252 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACCNP-AG |
| License Number: | SP013013 |
| Business Practice Address: | 250 College Ave Lancaster, PA - 176033363 |
| Business Phone Number: | 7172918111 |
| Business Fax Number: | |
| Mailing Address: | 918 Perry Rd, LITITZ |
| State: | PA |
| Postal Code: | 175438942 |
| Phone Number: | 7177991543 |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2013 |
| NPI Last Update Date: | 10/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC0200X |
| License Number: | SP013013 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |