ANGELA FULLER

Nurse Practitioner - Family

Active Individual
NPI: 1265991764

Practice Address

1923 PORT ROYAL DR
Soddy Daisy, TN 37379

Phone: (423) 602-1544

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 25268 (TN)

Frequently Asked Questions

NPI 1265991764 is the National Provider Identifier for ANGELA FULLER, a Nurse Practitioner - Family provider located in Soddy Daisy, TN. This NPI was enumerated on March 14, 2019.
ANGELA FULLER practices at 1923 PORT ROYAL DR, Soddy Daisy, TN 37379.

Quick Facts

NPI
1265991764
Type
Individual
Enumerated
Mar 14, 2019
Last Updated
Mar 14, 2019

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