Andrea J Fuller RN,FNP

NPI 1528058385 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1528058385
Gender Female
Enumeration Date 10/24/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
590 HISTORIC OLD HWY 441
DEMOREST GA, 30535, US
Phone (706) 754-5511
Fax (706) 754-5577
Business Location
590 HISTORIC HWY 441 N.
DEMOREST GA, 30535, US
Phone (706) 754-5511
Fax (706) 754-5577
Toxanomy
Taxonomy Code 363LF0000X
License State Georgia
License Number 098416
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According to our database, Andrea J Fuller RN,FNP NPI is 1528058385, taxonomy code is 363LF0000X and license number is 098416, license state is located at Georgia. Andrea J Fuller RN,FNP physically located at 590 Historic Old Hwy 441, Demorest GA, 30535. NPI Number Andrea J Fuller RN,FNP has the Individual type.

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1528058385 NPI number is provided on an as is basis without warranty of any kind. 1528058385 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea J Fuller RN,FNP are for informational purposes only.