Doctor Name: | MS. MARY E FULTZ |
NPI Number: | 1588784151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | NONE |
Business Practice Address: | 205 E Chestnut Ave Ponca City, OK - 746014311 |
Business Phone Number: | 5807629109 |
Business Fax Number: | 5807630929 |
Mailing Address: | 1505 Bradbary Ln, PONCA CITY |
State: | OK |
Postal Code: | 746012512 |
Phone Number: | 5807659411 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171M00000X |
License Number: | NONE |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Case Manager/Care Coordinator |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee |