Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gaven M Fults

Individual provider Perfusionist · NPI 1376882126

Mr. Gaven M Fults is a Perfusionist in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

14708 Kansas Ave
Omaha, NE 68116-4514
Phone: (402) 309-0523
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X

Record details

NPI number1376882126
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 13, 2013
Last updated in NPPESFebruary 13, 2013

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