Individual provider · Type 1 NPI

Kolleen Marian Fuller, RNNP

Acute Care Nurse Practitioner · Syracuse, NY

NPI number 1952421059 Active

Practice location

736 Irving Ave
Syracuse, NY 13210-1687

Fax (315) 470-2642

Mailing address

57 Fennell St
Skaneateles, NY 13152-1119

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X300761-1 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1952421059

Kolleen Marian Fuller, RNNP's National Provider Identifier is 1952421059, issued on Mar 30, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Syracuse, NY. The record was last updated on Jul 8, 2007.