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RENAE FULKS
NPI 1023496288
Licensed Practical Nurse in Southgate, MI

Active since May 08, 2015
13460 CAMBRIDGE ST APT 203, SOUTHGATE, MI 48195(734) 444-6831 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Renae Fulks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAE FULKS (NPI 1023496288) is an individual licensed practical nurse in Southgate, Michigan, licensed in Michigan (4703111417) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1023496288
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameRENAE FULKS
Location Address13460 CAMBRIDGE ST APT 203Southgate, MI 48195-1540
Mailing Address13460 Cambridge St Apt 203Southgate, MI 48195-1540 · (734) 444-6831
Phone(734) 444-6831
Sole ProprietorNo
Enumeration DateMay 8, 2015
✔ NPI 1023496288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703111417
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
13460 CAMBRIDGE ST APT 203, Southgate, MI 48195
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renae Fulks's NPI number?

The NPI number for Renae Fulks is 1023496288. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Where is Renae Fulks located?

Renae Fulks practices at 13460 Cambridge St Apt 203, Southgate, MI 48195. The listed phone number is (734) 444-6831.

What is Renae Fulks's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Renae Fulks was last updated on May 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.