Individual provider · Type 1 NPI

Angel M. Fuller, SUDP-T

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1659099042 Active

Practice location

11000 Lake City Way NE
Seattle, WA 98125-6748

Call (206) 901-2000 Map

Fax (206) 901-2010

Mailing address

6400 Southcenter Blvd
Tukwila, WA 98188-2547

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Counselor 101Y00000X61040159 (WA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

179 other providers at this address

Other student in an organized health care education/training program providers in Seattle

See all in Seattle →

About NPI 1659099042

Angel M. Fuller, SUDP-T's National Provider Identifier is 1659099042, issued on Aug 22, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Aug 28, 2026.