Individual provider · Type 1 NPI

Samuel Aaron Fullmer

Family Nurse Practitioner · Oakland, CA

NPI number 1609600600 Active

Practice location

2950 International Blvd
Oakland, CA 94601-2228

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X355097 (NY)
Family Nurse Practitioner Primary 363LF0000XNP95034962 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1609600600

Samuel Aaron Fullmer's National Provider Identifier is 1609600600, issued on Aug 30, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oakland, CA. The record was last updated on Sep 3, 2025.