Provider Demographics
NPI:1700910544
Name:FULHAM, ERIN E (CNM)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:FULHAM
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 RITCHIE AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-5241
Mailing Address - Country:US
Mailing Address - Phone:301-587-0091
Mailing Address - Fax:703-549-4821
Practice Address - Street 1:7301 GARLAND AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6417
Practice Address - Country:US
Practice Address - Phone:301-412-8800
Practice Address - Fax:301-920-1107
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166471367A00000X
MDR104016367A00000X
DCRN966801367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife