# HETTER ELIZABETH FULLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386278554
- **Gender:** F
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0000X | Pain Management Registered Nurse | RN186134 | AZ | — |
| 207Q00000X | Family Medicine Physician | 236499 | AZ | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 236499 | AZ | — |

## Other

- **Enumeration date:** 02/26/2020
- **Last updated:** 08/25/2026
