Angela B Fuller, RN, PA-C

NPI #1235167545 in Waterloo, Iowa

Provider Information

NPI Number: 1235167545
Entity Type: Individual
Name: Angela B Fuller, RN, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: RN, PA-C
Enumeration Date: Jun 28, 2006
Last Updated: Jul 13, 2007

Practice Location

Address: 2710 SAINT FRANCIS DR
Address 2: SUITE 210
City: Waterloo
State: Iowa
ZIP Code: 50702-5619
Phone: (319) 272-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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