Individual provider · Type 1 NPI
Nathanael Keith Fuller, PA
Medical Physician Assistant · Manning, IA
NPI number
1144583451
Active
Practice location
1550 6th Street
Manning, IA 51455-1004
Fax (712) 655-3228
Mailing address
1550 6th St
Manning, IA 51455-1005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 002297 (IA) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Manning
About NPI 1144583451
Nathanael Keith Fuller, PA's National Provider Identifier is 1144583451, issued on Jun 21, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Manning, IA. The record was last updated on Jun 13, 2014.