Angela Fuller
NPI #1265991764 in Soddy Daisy, Tennessee
Provider Information
- NPI Number
- 1265991764
- Entity Type
- Individual
- Name
- Angela Fuller
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 14, 2019
- Last Updated
- Mar 14, 2019
Practice Location
- Address
- 1923 PORT ROYAL DR
- City
- Soddy Daisy
- State
- Tennessee
- ZIP Code
- 37379-8836
- Phone
- (423) 602-1544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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