Individual provider · Type 1 NPI
Angela Fuller
Family Nurse Practitioner · Soddy Daisy, TN
NPI number
1265991764
Active
Practice location
1923 Port Royal Dr
Soddy Daisy, TN 37379-8836
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 25268 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1265991764
Angela Fuller's National Provider Identifier is 1265991764, issued on Mar 14, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Soddy Daisy, TN. The record was last updated on Mar 14, 2019.