Individual provider · Type 1 NPI

Martha Grant Fuller, PNP

Pediatric Nurse Practitioner · San Diego, CA

NPI number 1346449634 Active

Practice location

3020 Childrens Way
San Diego, CA 92123-4223

Mailing address

3020 Childrens Way # MC5148
San Diego, CA 92123-4223

Other practice locations

  • 3665 Kearny Villa Rd Ste 400, San Diego, CA 92123-1955 · (858) 966-8801

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNP6272 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1346449634

Martha Grant Fuller, PNP's National Provider Identifier is 1346449634, issued on Jul 16, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Diego, CA. The record was last updated on Sep 12, 2022.