Individual provider · Type 1 NPI

Shannon C. Fuller, LMP

Specialist · Bellingham, WA

NPI number 1194853036 Active

Practice location

120 Prospect St Ste 1
Bellingham, WA 98225-4428

Fax (360) 734-4148

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00017407 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1194853036

Shannon C. Fuller, LMP's National Provider Identifier is 1194853036, issued on Mar 1, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bellingham, WA. The record was last updated on Jun 16, 2014.