Provider Demographics
NPI:1972011971
Name:FULTINEER, FRANCESCA MOSTELLER
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:MOSTELLER
Last Name:FULTINEER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FRANCESCA
Other - Middle Name:LYNN
Other - Last Name:MOSTELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2113 WINNWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-6045
Mailing Address - Country:US
Mailing Address - Phone:773-510-3472
Mailing Address - Fax:
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-828-9244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001238584163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse