Individual provider · Type 1 NPI
Miranda Fuller, CRNP
Adult Health Nurse Practitioner · Plymouth Meeting, PA
NPI number
1659076198
Active
Practice location
2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP027381 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1659076198
Miranda Fuller, CRNP's National Provider Identifier is 1659076198, issued on Apr 4, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Plymouth Meeting, PA. The record was last updated on Jun 13, 2023.