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
ZIP Code
37379-8836
Phone
(423) 602-1544

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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