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Individual
DR. CASEY ANNA FULLER
Active
Individual
DR. CASEY ANNA FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHMNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
238135
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
113250
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
C-APN-0004366-C-NP
CO
Other
Enumeration date
04/25/2017
Last updated
01/23/2024
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