Provider Demographics
NPI:1376825786
Name:FULCHER, BRITTNEY N (NP, APRN)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:N
Last Name:FULCHER
Suffix:
Gender:F
Credentials:NP, APRN
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:
Other - Last Name:BARTHEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1510
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47706-1510
Mailing Address - Country:US
Mailing Address - Phone:812-450-7246
Mailing Address - Fax:812-450-4855
Practice Address - Street 1:4600 W LLOYD EXPY
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47712-6517
Practice Address - Country:US
Practice Address - Phone:812-450-7246
Practice Address - Fax:812-450-4855
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007126363LF0000X
IN71004140A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK016400Medicare PIN