Individual provider · Type 1 NPI

Antonette Fuller

Family Nurse Practitioner · Glastonbury, CT

NPI number 1952124091 Active

Practice location

2639 Main St
Glastonbury, CT 06033-2023

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X14117 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1952124091

Antonette Fuller's National Provider Identifier is 1952124091, issued on Nov 6, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Glastonbury, CT. The record was last updated on Nov 25, 2024.