Individual provider · Type 1 NPI

Dianne Lee Fuller, FNP-C

Family Nurse Practitioner · Salt Lake City, UT

NPI number 1124347786 Active

Practice location

3690 S Main St
Salt Lake City, UT 84115-4423

Mailing address

10 S 2000 E, University Of Utah College Of Nursing
Salt Lake City, UT 84112-5880

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X308008-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1124347786

Dianne Lee Fuller, FNP-C's National Provider Identifier is 1124347786, issued on May 21, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salt Lake City, UT. The record was last updated on May 21, 2010.