Individual provider · Type 1 NPI
Antonia Fuller, A.R.N.P.
Adult Psychiatric/Mental Health Registered Nurse · St. Augustine, FL
NPI number
1942390265
Active
Practice location
354 Paseo Reyes Drive
St. Augustine, FL 32095
Fax (904) 808-8596
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 1606392 (FL) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1942390265
Antonia Fuller, A.R.N.P.'s National Provider Identifier is 1942390265, issued on Oct 15, 2006. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in St. Augustine, FL. The record was last updated on Jan 7, 2010.