Individual provider · Type 1 NPI
Daniel Boston Fuller
Acute Care Nurse Practitioner · Portsmouth, VA
NPI number
1629404264
Active
Practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | 0024171194 (VA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 0024171194 (VA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1629404264
Daniel Boston Fuller's National Provider Identifier is 1629404264, issued on Sep 14, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portsmouth, VA. The record was last updated on Feb 2, 2022.