Individual provider · Type 1 NPI

Yvonne Potter Fuellenbach, PA-C

Physician Assistant · Murray, UT

NPI number 1063645554 Active

Practice location

5848 Fashion Blvd Ste 110
Murray, UT 84107-6121

Call (801) 314-4130 Map

Fax (801) 314-4011

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

Taxonomy	Code	License
Adult Reconstructive Orthopaedic Surgery Physician	207XS0114X	APPLIED (UT)
Physician Assistant Primary	363A00000X	264696-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063645554

Yvonne Potter Fuellenbach, PA-C's National Provider Identifier is 1063645554, issued on Aug 31, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Murray, UT. The record was last updated on Apr 29, 2016.