Alisha M Fuller FNP

NPI 1083616544 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1083616544
Gender Female
Enumeration Date 08/15/2005
Last Updated 10/31/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
390 CRYSTAL RUN RD
SUITE 102
MIDDLETOWN NY, 10941, US
Phone (845) 692-8780
Fax (845) 692-3439
Business Location
390 CRYSTAL RUN RD
SUITE 102
MIDDLETOWN NY, 10941, US
Phone (845) 692-8780
Fax (845) 692-3439
Toxanomy
Taxonomy Code 363LF0000X
License State New York
License Number 333950
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According to our database, Alisha M Fuller FNP NPI is 1083616544, taxonomy code is 363LF0000X and license number is 333950, license state is located at New York. Alisha M Fuller FNP physically located at 390 Crystal Run Rd, Middletown NY, 10941. NPI Number Alisha M Fuller FNP has the Individual type.

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1083616544 NPI number is provided on an as is basis without warranty of any kind. 1083616544 is maintained by the National Plan & Provider Enumeration System. The contents of Alisha M Fuller FNP are for informational purposes only.