Bettina Fulford, ARNP

NPI #1336546506 in Daytona Beach Shores, Florida

Provider Information

NPI Number: 1336546506
Entity Type: Individual
Name: Bettina Fulford, ARNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: ARNP
Enumeration Date: Dec 3, 2014
Last Updated: Feb 6, 2015

Practice Location

Address: 3512 S ATLANTIC AVE
Address 2: SHORES MEDICAL CENTER
City: Daytona Beach Shores
State: Florida
ZIP Code: 32118
Phone: (386) 767-9544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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