Individual provider · Type 1 NPI

Shelby Fullen, CAA

Anesthesiologist Assistant · Columbus, OH

NPI number 1023492816 Active

Practice location

410 W 10th Ave Fl 1
Columbus, OH 43210-1240

Fax (614) 293-8153

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559

Other practice locations

  • 110 Irving St NW, Washington, DC 20010-3017 · (202) 877-7000

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant 367H00000XAA000058 (DC)
Anesthesiologist Assistant Primary 367H00000X67.000543 (OH)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1023492816

Shelby Fullen, CAA's National Provider Identifier is 1023492816, issued on Jul 13, 2015. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Columbus, OH. The record was last updated on Apr 25, 2025.