IndividualActive
David Fulmer, CRNA
NPI 1629425673 · Certified Registered Nurse Anesthetist · Portland, ME
Provider details
- NPI number
- 1629425673
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- RNA203032 (ME)
Mailing address
22 Bramhall St
Portland, ME 04102-3175
Registry dates
- Enumerated
- 2016-05-19
- Last updated
- 2020-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.