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Individual

TERESA FULLEN

Active
Find providers by NPI
Individual

TERESA FULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0001138223
VA
363LF0000X
Family Nurse Practitioner
Primary
0024168776
VA
364SF0001X
Family Health Clinical Nurse Specialist
0024168776
VA

Other

Enumeration date
04/28/2010
Last updated
01/22/2020
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