Individual provider · Type 1 NPI

Benjamin A. Fuller

Student in an Organized Health Care Education/Training Program · Santa Fe, NM

NPI number 1306614904 Active

Practice location

1300 Luisa St Ste 7
Santa Fe, NM 87505-4177

Call (505) 416-8009 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306614904

Benjamin A. Fuller's National Provider Identifier is 1306614904, issued on Dec 13, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Fe, NM. The record was last updated on Dec 13, 2023.