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

Nancy Fulmore, AGACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1023666146

Nancy Fulmore, AGACNP-BC is a Nurse Practitioner in Mesa, Arizona. Qualified in 2019, 7 years ago. Practices with Akdhc LLC, a 126-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2019
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Practice location Address checks out

6553 E Baywood Ave Ste 205
Mesa, AZ 85206-1754
Phone: (480) 626-2020
Fax: (480) 626-2022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 231655 (AZ)

Record details

NPI number1023666146
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedSeptember 2, 2019
Last updated in NPPESDecember 19, 2019
Certification dateDecember 19, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Akdhc Llc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mesa