Doctor Name: | MRS. ANGELA N NEGRON FULTON |
NPI Number: | 1043385016 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA10004950 |
Business Practice Address: | 12911 120th Ave Ne Ste G100 Kirkland, WA - 980343027 |
Business Phone Number: | 4252960260 |
Business Fax Number: | 4258994148 |
Mailing Address: | 12911 120th Ave Ne Ste G100, KIRKLAND |
State: | WA |
Postal Code: | 980343027 |
Phone Number: | 4258994144 |
Fax Number: | 4258994148 |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 02/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PA10004950 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |