Individual provider · Type 1 NPI

Traci Ann Fuller, P.A.

Surgical Physician Assistant · Cincinnati, OH

NPI number 1487961231 Active

Practice location

6480 Harrison Ave, Suite 100
Cincinnati, OH 45247-7961

Call (513) 354-3700 Map

Fax (513) 354-7651

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X006385 (GA)
Surgical Physician Assistant 363AS0400X006385 (GA)
Surgical Physician Assistant Primary 363AS0400X50003781 (OH)

Surgical Physician Assistant: Definition to come...

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About NPI 1487961231

Traci Ann Fuller, P.A.'s National Provider Identifier is 1487961231, issued on Aug 31, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cincinnati, OH. The record was last updated on Jun 21, 2013.