LISA FULLMER, RN
Registered Nurse
Active
Individual
NPI: 1710090923
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | Yes | 2089873102 (UT) |
Frequently Asked Questions
NPI 1710090923 is the National Provider Identifier for LISA FULLMER, RN, a Registered Nurse provider located in Provo, UT. This NPI was enumerated on August 15, 2006.
LISA FULLMER, RN practices at 1034 N 500 W, Provo, UT 84604.
Quick Facts
- NPI
- 1710090923
- Type
- Individual
- Enumerated
- Aug 15, 2006
- Last Updated
- Jul 8, 2007
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