Individual provider · Type 1 NPI

Sara G. Fuller, NP

Pediatric Nurse Practitioner · Columbia, SC

NPI number 1871546226 Active

Practice location

2638 Two Notch Rd, Suite 110
Columbia, SC 29204-1454

Fax (803) 255-3451

Mailing address

15 Medical Park Rd, Suite 300
Columbia, SC 29203-8003

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPN1042 (SC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1871546226

Sara G. Fuller, NP's National Provider Identifier is 1871546226, issued on May 18, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Columbia, SC. The record was last updated on Oct 10, 2008.